Individual
MISS ALICIA K ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 KELLER ST, PETALUMA, CA 94952-2900
(707) 953-6969
Mailing address
425 DOUGLAS ST, PETALUMA, CA 94952-2504
(707) 953-6969
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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