Individual
TINA M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOULA
Contact information
Practice address
200 SW ASPEN GLN, LAKE CITY, FL 32024-4030
(386) 365-3673
Mailing address
200 SW ASPEN GLN, LAKE CITY, FL 32024-4030
(386) 365-3673
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
202406457
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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