Individual
MALLORY T ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N 8TH ST, CANON CITY, CO 81212-3307
(719) 275-3968
Mailing address
2501 COTTONTAIL LN, SOMERSET, NJ 08873-5125
(732) 529-7120
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD.0000384
CO
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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