Irene Maribel Allen, RD

Individual provider Active NPI Registered Dietitian · Selma, CA

NPI 1568178366 · NPPES record last updated Jan 25, 2023

Key facts

NPI
1568178366
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86360275 (CA)
Practice address
1041 Rose Ave
Selma, CA 93662-3240
Phone
(559) 856-6090
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
86360275CAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86360275 CA Yes

Addresses

Primary practice location

1041 Rose Ave
Selma, CA 93662-3240

Mailing address

1041 Rose Ave
Selma, CA 93662-3240
Phone (559) 856-6090

Other providers in Selma, CA

All providers in Selma, CA · Registered Dietitian in California

Sources for this page

Verify at the official NPI Registry.