Individual
ALLEN STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 WESTERNVIEW ST, SPRINGFIELD, MA 01108-1616
(518) 331-8583
Mailing address
24 WESTERNVIEW ST, SPRINGFIELD, MA 01108-1616
(518) 331-8583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN85360
MA
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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