Individual
DANESIA ALLEN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2970 MARKET ST, SAN DIEGO, CA 92102-3296
(619) 236-9492
Mailing address
5680 AMARILLO AVE APT 6, LA MESA, CA 91942-2888
(760) 397-9926
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-NOLWBR
CA
Other
Enumeration date
11/19/2014
Last updated
10/07/2025
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