Individual provider · NPI-1

Charmane L Allen

Homemaker · Orlando, FL

NPI number1952007627
StatusActive
Last updated in NPPESFeb 6, 2023

Details

NPI
1952007627
Entity type
Individual (NPI-1)
Name
Charmane L Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 6, 2023
Certification date
Jan 20, 2023
Last updated
Feb 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker–FLYes

Practice location

1151 Lake Blanche Dr
Orlando, FL 32808-6954

Phone 407-669-6763

Mailing address

1151 Lake Blanche Dr
Orlando, FL 32808-6954

Phone 407-669-6763

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