Individual
DEVORD JR. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
4309 QUEEN AVE N, MINNEAPOLIS, MN 55412-1105
(651) 316-4486
Mailing address
7040 71ST AVE N, BROOKLYN PARK, MN 55428-1660
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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