Individual
CAROL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4730 47TH AVE STE 300, SACRAMENTO, CA 95824-3946
(916) 391-6694
(916) 391-6726
Mailing address
6381 FIELDALE DR, ELK GROVE, CA 95758-6329
(916) 470-8742
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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