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Individual

MR. ELLIOT ANDREW ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2414 16TH ST, SACRAMENTO, CA 95818-2330
(916) 704-4317
Mailing address
2414 16TH ST, SACRAMENTO, CA 95818-2330
(916) 704-4317

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/29/2009
Last updated
01/29/2009
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