Individual
RAKIYA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4814 STONE MOUNTAIN HWY STE 9, LILBURN, GA 30047-4649
(678) 404-2477
Mailing address
4814 STONE MOUNTAIN HWY STE 9, LILBURN, GA 30047-4649
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
09/11/2020
Last updated
08/21/2024
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