Individual
ANDREA ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
654 N DELMONTE CT, KISSIMMEE, FL 34758-3211
(407) 552-5822
Mailing address
654 N DELMONTE CT, KISSIMMEE, FL 34758-3211
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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