Individual
KALLAI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3528 ARMSTRONG ST, JACKSONVILLE, FL 32218-3179
(352) 619-7642
Mailing address
3528 ARMSTRONG ST, JACKSONVILLE, FL 32218-3179
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
143942
FL
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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