Individual
KALEAH PRENTICE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR STE 260, LAWRENCEVILLE, GA 30046-8444
(678) 209-2411
Mailing address
1603 SWEET BRANCH TRL, GRAYSON, GA 30017-4127
(909) 758-6724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN302680
CA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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