Individual
MARCIA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5011 MONTGOMERY BLVD NE, SUITE B2, ALBUQUERQUE, NM 87109-1350
(505) 872-3668
(505) 888-7041
Mailing address
5011 MONTGOMERY BLVD NE, SUITE B2, ALBUQUERQUE, NM 87109-1350
(505) 872-3668
(505) 888-7041
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
202635927
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05756863
—
NM
05
—
1881667806
—
NM
Enumeration date
11/10/2009
Last updated
11/10/2009
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