Most Relevant Information
Provider Data
| NPI Number: | 1003659137 |
| Provider Name: | MARY CHANEL ALLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | LVN684277 |
Most Important Dates
| Enumeration Date: | 06/17/2024 |
| Last Updated: | 06/17/2024 |
Provider Practice Location
14139 BUCHER AVE
SYLMAR
CA
913421442
Practice Location Phone/Fax
| Phone: | 3102216336 |
| Fax: |
Provider Mailing Location
14139 BUCHER AVE
SYLMAR
CA
913421442
Provider Mailing Phone/Fax
| Phone: | 3102216336 |
| Fax: |