Individual
MRS. COLLEEN KATHRYN TILLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3000
Mailing address
3162 RICHMOND AVE, CLOVIS, CA 93619-8109
(559) 408-8013
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95029920
CA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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