Eddie Allen, CST, CLT

NPI #1043245442 in Bridgeport, West Virginia

Provider Information

NPI Number
1043245442
Entity Type
Individual
Name
Eddie Allen, CST, CLT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Credential
CST, CLT
Enumeration Date
Jul 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
166 THOMPSON DR
ZIP Code
26330-1644
Phone
(304) 842-6001

Specialties & Taxonomy Codes

Specialty
Technician, Other

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