NPI | 1265030175 |
---|---|
Other Name | CLIFF MCRAE ALLRED |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 29014) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 226420) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2021-06-03 |