Individual
DONNA MADDOX ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
SIGNATURE HEALTH INC., 21100 SOUTHGATE PARK BLVD, MAPLE HEIGHTS, OH 44137
(216) 663-6100
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 585-8200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.162790.MEDS-IV
OH
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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