Individual
LISA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
31078 N DOME DR, COARSEGOLD, CA 93614-9165
(559) 642-6136
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
538453
CA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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