SEVANA ELECSIS ALLEN
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1780539593- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1120 15TH ST, AUGUSTA, GA, 309120004
- Phone
- (706) 721-3186
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
All Addresses
MAILING
436 E 51ST ST
SAVANNAH, GA, 314052353