Individual
MR. JOHN SYLVANUS ALLIEU SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2672 MERGANSER CT, LOS BANOS, CA 93635-9473
(559) 737-8939
Mailing address
2672 MERGANSER CT, LOS BANOS, CA 93635-9473
(559) 737-8939
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015714
CA
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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