Individual
MS. WANITA L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3829 ANNETTE LN, MEMPHIS, TN 38127-4304
(901) 264-3062
Mailing address
750 E US HIGHWAY 80 STE 200-423, FORNEY, TX 75126-8722
(901) 264-3062
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
097502102
TN
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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