Individual
ALICIA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35640 MICHIGAN AVENUE WEST, WAYNE, MI 48184
(734) 729-7792
(734) 729-7938
Mailing address
227 HOLLYWOOD DR, MONROE, MI 48162-2636
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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