Individual
MS. FATIMAH AISHA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1330 SHAW AVE STE 101, CLOVIS, CA 93612-3985
(559) 458-3146
Mailing address
1330 SHAW AVE STE 101, CLOVIS, CA 93612-3985
(559) 458-3146
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
75915
CA
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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