Individual
MR. TRAVIS LEVI PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2619 KALAMAZOO AVE SE APT 209, GRAND RAPIDS, MI 49507-3968
(805) 222-0032
Mailing address
2619 KALAMAZOO AVE SE APT 209, GRAND RAPIDS, MI 49507-3968
(805) 222-0032
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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