Individual
CHRISTINE MARIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 ELIZABETH ST, NEWARK, OH 43055-5809
(740) 403-2821
Mailing address
24 ELIZABETH ST, NEWARK, OH 43055-5809
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 124371 IV
OH
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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