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Individual

SHEENA LATRAC ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3525
(209) 576-3544
Mailing address
PO BOX 1430, SUISUN CITY, CA 94585-4430
(209) 579-5628

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
22692
CA

Other

Enumeration date
11/07/2012
Last updated
05/15/2018
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