TRAVIS MOULTON

OAKLAND, ME
NPI1104307842
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: ME  03192015)
Enumeration Date2018-08-21
Last Update Date2018-08-21
Business Address
TRAVIS MOULTON
708 FAIRFIELD ST
OAKLAND, ME 04963-5220
Phone number: 207-660-7363
Mailing Address
TRAVIS MOULTON
708 FAIRFIELD ST
OAKLAND, ME 04963-5220
Phone number: 207-660-7363