Individual
MARSHALL D ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7152 N SHARON AVE, #104, FRESNO, CA 93720-3361
(559) 447-4898
Mailing address
PO BOX 3776, PINEDALE, CA 93650-3776
(559) 436-0871
(559) 436-5221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
302773
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
1695
CA
Other
Enumeration date
07/10/2006
Last updated
05/19/2009
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