Individual
ANGELA MARIE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21062 KELLY ROAD, EASTPOINT, MI 48021
(248) 688-5947
Mailing address
21062 KELLY ROAD, EASTPOINT, MI 48021
(248) 688-5947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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