Individual
KIERA TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 WALNUT ST, BENTON HARBOR, MI 49022-2949
(269) 363-8402
Mailing address
339 WALNUT ST, BENTON HARBOR, MI 49022-2949
(269) 363-8402
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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