Individual provider · NPI-1
Michael Wayne Allen
Case Manager/Care Coordinator · Santa Maria, CA
NPI number1467526566
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1467526566
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Wayne Allen
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
500 W Foster RdSanta Maria, CA 93455-3620
Phone 805-934-6380 · Fax 805-934-6381
Mailing address
937 E Cypress AveLompoc, CA 93436-7010
Phone 805-934-6380 · Fax 805-934-6381
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