Provider Demographics
NPI:1710996087
Name:ALLEN, SHEREE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHEREE
Middle Name:MARIE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 KAINS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-3431
Mailing Address - Country:US
Mailing Address - Phone:650-225-0800
Mailing Address - Fax:650-225-0801
Practice Address - Street 1:777 KAINS AVE
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3431
Practice Address - Country:US
Practice Address - Phone:650-225-0800
Practice Address - Fax:650-225-0801
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-29911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor