Individual
DANITA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12370 HESPERIA RD STE 6, VICTORVILLE, CA 92395-4787
(760) 245-4747
Mailing address
1001 MANGUM AVE, SELMA, AL 36701-4727
(334) 430-0261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95025348
CA
363LF0000X
Family Nurse Practitioner
F03220342
AL
Other
Enumeration date
05/01/2022
Last updated
06/02/2023
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