Individual
SAM L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 COLBY AVE, TAKOMA PARK, MD 20912-5439
(240) 338-3626
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
09/03/2021
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