Individual
CASEY LYNN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 CLINTON ST, ROME, NY 13440-2518
(315) 240-1554
Mailing address
1202 CLINTON ST, ROME, NY 13440-2518
(315) 240-1554
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330639
NY
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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