Individual
MR. JUSTON DON TRAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 GAY ST, NEWARK, OH 43055-6323
(740) 670-0959
Mailing address
225 GAY ST, NEWARK, OH 43055-6323
(740) 670-0959
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2625878
I.H.P.
OH
Enumeration date
02/15/2007
Last updated
07/08/2007
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