Provider Demographics
NPI:1588346407
Name:ALLRED, JAMI A
Entity type:Individual
Prefix:MR
First Name:JAMI
Middle Name:A
Last Name:ALLRED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 462
Mailing Address - Street 2:
Mailing Address - City:ANGELS CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:95222-0462
Mailing Address - Country:US
Mailing Address - Phone:505-377-0192
Mailing Address - Fax:
Practice Address - Street 1:1439 FINNEGAN LN
Practice Address - Street 2:
Practice Address - City:ANGELS CAMP
Practice Address - State:CA
Practice Address - Zip Code:95222-9339
Practice Address - Country:US
Practice Address - Phone:505-377-0192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach