Individual
MIYA E ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 NUT TREE RD, SUITE 100B, VACAVILLE, CA 95687-4172
(707) 624-7947
(707) 624-7998
Mailing address
1010 NUT TREE RD, SUITE 100B, VACAVILLE, CA 95687-4172
(707) 624-7947
(707) 624-7998
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A105636
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2008
Last updated
02/11/2022
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