Individual
MR. ANTHONY DAMONE TRAVIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
364 LIND AVE NW, RENTON, WA 98057
(206) 790-6877
Mailing address
364 LIND AVE NW, RENTON, WA 98057
(206) 790-6877
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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