Individual
AMBER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 BUTTERFLY GARDENS DR FL 4, COLUMBUS, OH 43215-7508
(614) 355-8005
Mailing address
DEPT 781625 PO BOX 78000, DETROIT, MI 48278-1625
(614) 355-8004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
10/17/2018
Last updated
10/17/2018
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