Individual
MRS. VIVIAN ANN ALLEN-BAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 GUTFORD RD, CLARKSVILLE, IN 47129-9048
(812) 945-8957
Mailing address
2316 GUTFORD RD, CLARKSVILLE, IN 47129-9048
(812) 945-8957
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
IN
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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