Individual
MRS. NICOLE RENEE ALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
2801 N WELLS ST, FORT WAYNE, IN 46808-2103
(260) 471-5648
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27052955A
IN
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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