Individual
KISA LASHAWN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1338 SLATER ST APT 102, TOLEDO, OH 43612-2759
(419) 787-0248
Mailing address
1338 SLATER ST APT 102, TOLEDO, OH 43612-2759
(419) 787-0248
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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