Individual
MRS. TERESA MARIE ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2443
(714) 898-1448
(714) 898-0368
Mailing address
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2443
(714) 898-1448
(714) 898-0368
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
370200
CA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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