Individual
ALLAM DALATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1080 MASON MALL STE 6C, CRESCENT CITY, CA 95531-4335
(707) 465-1111
(479) 621-9960
Mailing address
PO BOX 1972, ROGERS, AR 72757-1972
(707) 465-1111
(479) 621-9960
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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