Individual
BETH COURTNEY ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1045 N LAKE AVE, PASADENA, CA 91104-4521
(626) 798-0706
Mailing address
923 5TH ST, APT 9, SANTA MONICA, CA 90403-2646
(650) 465-5697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004830
CA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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