Most Relevant Information
Provider Data
| NPI Number: | 1003408568 |
| Provider Name: | PRISCILLA ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/06/2021 |
| Last Updated: | 02/06/2021 |
Provider Practice Location
20 COOK CT
MARTINSBURG
WV
254052788
Practice Location Phone/Fax
| Phone: | 3042405985 |
| Fax: |
Provider Mailing Location
20 COOK CT
MARTINSBURG
WV
254052788
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |