Individual
HEATHER ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
11577 NW 19TH PL, GAINESVILLE, FL 32606-1442
(602) 697-7590
Mailing address
11577 NW 19TH PL, GAINESVILLE, FL 32606-1442
(602) 697-7590
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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