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Mary Leta Allen

Technician, Attendant Care Provider in San Diego, CA. Individual provider (NPI-1).

NPI number1578112728
StatusActive
Last updated in NPPESSep 10, 2019

Details

NPI
1578112728
Entity type
Individual (NPI-1)
Name
Mrs. Mary Leta Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 10, 2019
Last updated
Sep 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

4465 Maple St
San Diego, CA 92105-4762

Phone 619-957-1717

Mailing address

4465 Maple St
San Diego, CA 92105-4762

Phone 619-957-1717

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