Doctor Name: | DEBORAH MICHELLE ALLEN |
NPI Number: | 1003097031 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 621966 |
Business Practice Address: | 5256 Mission Blvd Riverside, CA - 925094624 |
Business Phone Number: | 9519555336 |
Business Fax Number: | 9519555329 |
Mailing Address: | 4065 County Circle Dr, RIVERSIDE |
State: | CA |
Postal Code: | 925033410 |
Phone Number: | 9513585438 |
Fax Number: | 9513585019 |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 11/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 621966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |