Individual
LINDA JEAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
W315S8947 WIGWAM DR, MUKWONAGO, WI 53149-8895
(262) 363-7441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R456189
ADA REGISTRATION NUMBER
—
Enumeration date
07/20/2006
Last updated
07/08/2007
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