Individual
DEBORAH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
32473 SEA RAVEN DR, RANCHO PALOS VERDES, CA 90275-6120
(310) 748-2140
Mailing address
32473 SEA RAVEN DR, RANCHO PALOS VERDES, CA 90275-6120
(310) 748-2140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95007380
NURSE PRACTITIONER LICENSE
CA
Enumeration date
09/28/2017
Last updated
07/09/2019
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