Individual
VIRGINIA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4366 SW 140TH STREET RD, OCALA, FL 34473-2028
(352) 817-6886
Mailing address
5751 NW 3RD PL, OCALA, FL 34482-5597
(352) 817-6886
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
0
FL
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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