Individual
MR. WILLIAM GLEN TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1-180703
AL
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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