Tanyale Allen

NPI #1063041036 in Dolton, Illinois

Provider Information

NPI Number
1063041036
Entity Type
Individual
Name
Tanyale Allen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetist
Enumeration Date
Apr 2, 2020
Last Updated
Apr 2, 2020

Practice Location

Address
1016 E 156TH PL
City
Dolton
ZIP Code
60419-2775
Phone
(708) 541-0163

Specialties & Taxonomy Codes

Specialty
Prosthetist

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