Individual
MARY JEAN ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 CRESTLINE CIR, EL DORADO HILLS, CA 95762-7223
(916) 275-3698
Mailing address
1070 CRESTLINE CIR, EL DORADO HILLS, CA 95762-7223
(916) 275-3698
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3325
CA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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