WANDA BLANCHE TRAVIS

TUBA CITY, AZ
NPI1083981419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: KY  1099703)
Enumeration Date2011-11-30
Last Update Date2011-11-30
Business Address
Mrs. WANDA BLANCHE TRAVIS RN,SANE
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2501
Mailing Address
Mrs. WANDA BLANCHE TRAVIS RN,SANE
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501