Individual
TRAVIS L MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4573 KINGS CANYON RD, FRESO, CA 93727
(559) 554-6340
Mailing address
4573 KINGS CANYON RD, FRESO, CA 93727
(559) 554-6340
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
About Stedi
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