Individual
MRS. DEBRA LEE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
455 SILICON VALLEY BLVD, SAN JOSE, CA 95138-1858
(408) 284-9031
(408) 284-9058
Mailing address
455 SILICON VALLEY BLVD, SAN JOSE, CA 95138-1858
(408) 284-9031
(408) 284-9058
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
351052
CA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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