Individual
MS. PAMELA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4759824-3101
UT
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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