Individual
TINA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26520 COLERIDGE ST, HARRISON TWP, MI 48045-3506
(586) 876-5322
Mailing address
26520 COLERIDGE ST, HARRISON TWP, MI 48045-3506
(586) 876-5322
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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