Individual
NOVELETTE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 NW LEONARDO CIR, PORT ST LUCIE, FL 34986-4339
(754) 422-4200
Mailing address
1404 NW LEONARDO CIR, PORT ST LUCIE, FL 34986-4339
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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