Provider Demographics
NPI:1548938160
Name:ALLEN, AYOMIDE HELEN (RN)
Entity type:Individual
Prefix:MRS
First Name:AYOMIDE
Middle Name:HELEN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 CALLE ROCKFISH UNIT 99
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-6383
Mailing Address - Country:US
Mailing Address - Phone:619-565-9973
Mailing Address - Fax:
Practice Address - Street 1:5301 CALLE ROCKFISH UNIT 99
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-6383
Practice Address - Country:US
Practice Address - Phone:619-565-9973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95256458163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse