Individual
MARK STEVEN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
13026 MONTEREY DR, YUCAIPA, CA 92399-4818
(909) 790-9857
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
00023643
CA
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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