Individual
LATISHA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
479 N STATE ST APT D1, CONCORD, NH 03301-3247
(815) 491-0603
Mailing address
479 N STATE ST APT D1, CONCORD, NH 03301-3247
(815) 491-0603
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/06/2020
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