Individual
MR. TRAVIS MCLAIN VALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMA, CCHT-A
Contact information
Practice address
1460 E VICTORY DR, SAVANNAH, GA 31404-4108
(912) 412-0707
Mailing address
3011 CERES AVE STE 125, CHICO, CA 95973-5636
(530) 343-5279
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
00022495
CA
2472R0900X
Renal Dialysis Technician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041388
CERTIFIED HEMODIALYSIS TECHNICIAN
NM
01
—
06673
OREGON HEALTH AUTHORITY CHT
OR
01
—
CHT 00022495
CA DEPARTMENT OF PUBLIC HEALTH
CA
01
—
HT60672991
WA STATE DEPARTMENT OF HEALTH MAHT
WA
Enumeration date
05/18/2015
Last updated
12/23/2018
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