Individual
MR. JAMES BENTON ALLEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
COMDT CG-1122 U S COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(207) 438-2605
Mailing address
4 WILLOW CREEK LN, OLD ORCHARD BEACH, ME 04064-2300
(207) 286-7272
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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