MS. Mallory Allen

NPI #1750685863 in Biloxi, Mississippi

Provider Information

NPI Number: 1750685863
Entity Type: Individual
Name: MS. Mallory Allen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Jan 4, 2011
Last Updated: Jul 26, 2013

Practice Location

Address: 400 VETERANS AVE
City: Biloxi
State: Mississippi
ZIP Code: 39531-2410
Phone: (555) 555-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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