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NPI Profile for LATRICIA R ALLEN in GULFPORT, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Surgical Assistant |
246ZC0007X |
| NPI Number | 1366864811 |
|
| Status | Active | |
| Credentials | CSFA | |
| Entity | Individual | |
| Enumeration date | 01/16/2014 | |
| Last updated | 12/14/2019 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LATRICIA R ALLEN
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LATRICIA R ALLEN, CSFA