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KAILENE ALLIS

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1831617216

Individual Registrant:
 KAILENE  ALLIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
5519 NORTE DAME AVE  RIVER OAKS, TX 76114 US
Tel: 330-858-2047  Fax: --

Contact information for business:
5519 NOTRE DAME AVE  RIVER OAKS, TX 76114-2548 US
Tel: --  Fax: --

Registration Information:
NPI: 1831617216
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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