TRAVIS O ELLIS

CHARLESTON, WV
NPI1598388043
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  64717)
Enumeration Date2020-05-19
Last Update Date2020-05-19
Business Address
TRAVIS O ELLIS
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5503
Mailing Address
TRAVIS O ELLIS
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5503
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