Individual
PATRICIA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 APACHE DR STE A, MCCOMB, MS 39648-6309
(601) 250-1114
(866) 541-6167
Mailing address
1119 BERTHADALE RD, MCCOMB, MS 39648-8242
(601) 810-2365
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA0552
MS
237700000X
Hearing Instrument Specialist
HAO522
MS
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39648
HEARING AID SPECIALISTS
MS
05
—
39648
—
MS
Enumeration date
07/14/2021
Last updated
07/14/2021
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