Shaun Michael Allen
Home Health Aide in Los Molinos, CA. Individual provider (NPI-1).
NPI number1982173142
StatusActive
Last updated in NPPESNov 16, 2018
Details
- NPI
- 1982173142
- Entity type
- Individual (NPI-1)
- Name
- Shaun Michael Allen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2018
- Last updated
- Nov 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
7770 Tina CtLos Molinos, CA 96055-9732
Phone 530-624-3182
Mailing address
7770 Tina CtLos Molinos, CA 96055-9732
Phone 530-624-3182
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