Individual
TRAVIS ROBICHAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
20920 AREA 41 BLDG 41256, 1ST MARINE SPECIAL OPERATIONS BATTALLION, CAMP PENDLETON, CA 92055-5341
(760) 725-5298
Mailing address
MCB BOX 555341, 1ST MSOB, CAMP PENDLETON, CA 92055-5341
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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