TRAVIS LANE VANCE

SPRINGDALE, AR
NPI1750541785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-06-12
Last Update Date2008-06-12
Business Address
-- TRAVIS LANE VANCE MHPP
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
Mailing Address
-- TRAVIS LANE VANCE MHPP
PO BOX 6430
SPRINGDALE, AR 72766-6430
Phone number: 479-750-2020