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Individual

ALLEN SUMMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNA

Contact information

Practice address
6816 AVALON BLVD, LOS ANGELES, CA 90003-1922
(213) 312-5529
Mailing address
2216 VIA MARIPOSA E UNIT N, LAGUNA WOODS, CA 92637-2227
(310) 877-0620

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01138299
CA

Other

Enumeration date
06/28/2023
Last updated
06/28/2023
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