TRAVIS JOHNSON

CROSS LANES, WV
NPI1033815071
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-02-01
Last Update Date2023-02-01
Business Address
TRAVIS JOHNSON
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
Mailing Address
TRAVIS JOHNSON
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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