Individual
MR. TRAVIS TYLOR PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1248 KINNEYS LN, PORTSMOUTH, OH 45662-2927
(740) 356-7955
Mailing address
1223 16TH ST, WEST PORTSMOUTH, OH 45663-5847
(606) 618-1881
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09300157
OH
Other
Enumeration date
05/24/2020
Last updated
05/24/2020
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