Individual
CARRIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4907 TURNER RD, ORANGE, TX 77630-0113
(405) 651-8880
Mailing address
4907 TURNER RD, ORANGE, TX 77630-0113
(405) 651-8880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83218
TX
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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