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NPI Code Detail

MEDICARE: RENEE ALLEN

MEDICARE:   RENEE  ALLEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist8789CA
2225700000XMassage Therapist8987CA

General Provider Information

NPI Number : 1639064157
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE ALLEN
Provider Business Mailing Address
First Line : 1630 E 2ND ST APT 8
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5956
Country : US
Telephone Number : 562-858-2471
Fax Number :
Provider Business Practice Location Address
First Line : 1630 E 2ND ST APT 8
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5956
Country : US
Telephone Number : 562-858-2471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2025
Last Update Date : 06/12/2025

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Directions to “ RENEE ALLEN ” Practice Location

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