Doctor Name: | MISS ALFREDIA-PRINCELLA ALLEN |
NPI Number: | 1033596036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPT, CNA |
License Number: | 13-2884 |
Business Practice Address: | 1881 W Alexander Rd Unit 2041 North Las Vegas, NV - 890329053 |
Business Phone Number: | 7086395563 |
Business Fax Number: | |
Mailing Address: | 1881 W. Aexander Rd. Unit # 2041, NORTH LAS VEGAS |
State: | NV |
Postal Code: | 89032 |
Phone Number: | 7086395563 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RP1900X |
License Number: | 13-2884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Phlebotomy |
Taxonomy Definition: |