Amanda Delores Allen
Durable Medical Equipment & Medical Supplies, Customized Equipment in Wilson, NC. Individual provider (NPI-1).
NPI number1316345309
StatusActive
Last updated in NPPESDec 8, 2014
Details
- NPI
- 1316345309
- Entity type
- Individual (NPI-1)
- Name
- Amanda Delores Allen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2014
- Last updated
- Dec 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | Yes |
Practice location
204 Kenmore St NWilson, NC 27893-1848
Phone 252-366-3191 · Fax 252-399-1193
Mailing address
2105b Fairmount AveApt B
Richmond, VA 23223-5137
Phone 252-366-3191 · Fax 252-399-1193
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