Individual
CHRISTIAN BLAKE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39159 AL HIGHWAY 75, FYFFE, AL 35971-3939
(256) 302-5483
Mailing address
39159 AL HIGHWAY 75, FYFFE, AL 35971-3939
(256) 302-5483
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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