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Organization
ALLEGORY MENTAL HEALTH ADVANCED PRACTICE PSYCHIATRIC NURSING PC
Active
Organization
ALLEGORY MENTAL HEALTH ADVANCED PRACTICE PSYCHIATRIC NURSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY GLEASON PMHNP (DIRECTOR)
(209) 840-0235
Entity
Organization
Contact information
Practice address
250 S OAK AVE STE A2, OAKDALE, CA 95361-3572
(209) 840-0235
Mailing address
250 S OAK AVE STE A2, OAKDALE, CA 95361-3572
(209) 840-0235
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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