TRAVONTI SCOTT WALLACE

COLUMBUS, OH
NPI1881443596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
TRAVONTI SCOTT WALLACE
627 GILBERT ST
COLUMBUS, OH 43205-2616
Phone number: 614-680-1354
Mailing Address
TRAVONTI SCOTT WALLACE
627 GILBERT ST
COLUMBUS, OH 43205-2616
Phone number: 614-680-1354
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