Individual
ALLEGRA COMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2033 EUCLID ST APT 2, SANTA MONICA, CA 90405-1501
(310) 945-7179
Mailing address
2033 EUCLID ST APT 2, SANTA MONICA, CA 90405-1501
(310) 945-7179
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
LA COUNTY DMH
CA
Enumeration date
09/10/2014
Last updated
09/18/2014
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