Individual
MRS. MARY LOU TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1966 SWEDEN WALKER RD, HILTON, NY 14468-9724
(585) 964-7816
Mailing address
1966 SWEDEN WALKER RD, HILTON, NY 14468-9724
(585) 964-7816
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
611992-1
NY
163WS0200X
School Registered Nurse
Primary
611992-1
NY
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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