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Individual

CARLA CANTON ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1100 SAN BERNARDINO ROAD, SUITE 1100, UPLAND, CA 91786-4952
(909) 949-2242
(909) 981-5783
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13456
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
13456
CA

Other

Enumeration date
05/09/2008
Last updated
11/27/2023
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