Individual
MISS KATHERINE D VAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18302 IRVINE BLVD STE 300, TUSTIN, CA 92780-3437
(714) 957-1004
Mailing address
18302 IRVINE BLVD STE 300, TUSTIN, CA 92780-3437
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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