Individual
SHAUN MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7770 TINA CT, LOS MOLINOS, CA 96055-9732
(530) 624-3182
Mailing address
7770 TINA CT, LOS MOLINOS, CA 96055-9732
(530) 624-3182
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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