Individual
JOHNETTA SHANTA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 ASHTON AVE, NASHVILLE, TN 37218-2620
(615) 707-3762
Mailing address
1904 ASHTON AVE, NASHVILLE, TN 37218-2620
(615) 707-3762
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
TN
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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