Individual
MRS. ELLA LOUISE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
774 BRICE AVE, LIMA, OH 45801-3914
(419) 228-5663
Mailing address
774 BRICE AVE, LIMA, OH 45801-3914
(419) 228-5663
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
RT300439
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3088331
—
OH
Enumeration date
05/17/2012
Last updated
05/17/2012
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