Individual
MR. TRAVIS LOUALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
750 MAIN ST STE 302A, REISTERSTOWN, MD 21136-2517
(832) 754-6495
Mailing address
750 MAIN ST STE 302A, REISTERSTOWN, MD 21136-2517
(832) 754-6495
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
L0007452
MD
Other
Enumeration date
12/26/2023
Last updated
12/27/2023
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