Individual
TIMOTHY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1925 VILLAGE CENTER CIR STE 120, LAS VEGAS, NV 89134-6261
(702) 476-9683
Mailing address
11042 RUSTY RAY DR, LAS VEGAS, NV 89135-7815
(702) 378-6755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01867
NV
Other
Enumeration date
04/01/2021
Last updated
04/03/2024
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