Individual
TINA TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 N 36TH ST, MILWAUKEE, WI 53216-1719
(414) 241-2228
Mailing address
4315 N 36TH ST, MILWAUKEE, WI 53216-1719
(414) 241-2228
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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