Individual
OMAR ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7957 JOHNSON ST, PEMBROKE PINES, FL 33024-6878
(954) 893-9499
Mailing address
7957 JOHNSON ST, PEMBROKE PINES, FL 33024-6878
(954) 893-9499
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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