Individual
MISS ALLISON HAYES PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5649 NAAMAN FOREST BLVD, APART# 2734, GARLAND, TX 75044-5679
(972) 414-8801
Mailing address
5649 NAAMAN FOREST BLVD, #2735, GARLAND, TX 75044-5679
(972) 414-8801
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2027084
TX
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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