Individual
JANE TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8665
Mailing address
127 3RD ST NE, WASHINGTON, DC 20002-7313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA031277
DC
Other
Enumeration date
08/10/2016
Last updated
02/12/2020
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