Individual
HANNAH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2630 NW 41ST ST STE D3, GAINESVILLE, FL 32606-6666
(352) 658-1743
Mailing address
2630 NW 41ST ST STE D3, GAINESVILLE, FL 32606-6666
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8963
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8963
DIETETIC LICENSE
FL
Enumeration date
05/06/2022
Last updated
05/06/2022
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