Individual
NICOLE RENE' ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
838 ROBINDALE RD, BLYTHEVILLE, AR 72315-2238
(870) 824-2980
(870) 824-2980
Mailing address
838 ROBINDALE RD, BLYTHEVILLE, AR 72315-2238
(870) 824-2980
(870) 824-2980
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
916368971
AR
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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