Individual
TINA M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
17650 WRIGHT ST STE 7, OMAHA, NE 68130-2800
(402) 502-3115
Mailing address
1708 S 162ND ST, OMAHA, NE 68130-1410
(402) 317-4186
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
808
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
808
HEARING INSTRUMENT SPECIALIST
NE
Enumeration date
09/17/2019
Last updated
09/17/2019
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