Individual
MICHAEL TAYLOR ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1950 3RD ST, LA VERNE, CA 91750-4401
(909) 593-3511
Mailing address
34618 SPINDLE TREE ST, WINCHESTER, CA 92596-8630
(951) 751-4424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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