Individual
TRAVON JOSHUA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 SUMMIT AVE, NILES, OH 44446
(330) 883-8708
Mailing address
124 SUMMIT AVE, NILES, OH 44446-3632
(330) 883-8708
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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