Individual
NAKINYA JEANELLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 15TH CIR SW, VERO BEACH, FL 32962-5300
(772) 453-7279
Mailing address
1565 15TH CIR SW, VERO BEACH, FL 32962-5300
(772) 453-7279
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
261QD1600X
FL
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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