Individual
DESMOND ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
644 LAKELAND EAST DR STE F, FLOWOOD, MS 39232-8819
(769) 226-1925
Mailing address
644 LAKELAND EAST DR STE F, FLOWOOD, MS 39232-8819
(769) 226-1925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1252
MS
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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