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Individual

CORINNE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
515 SOUTH DR STE 15, MOUNTAIN VIEW, CA 94040-4209
(650) 961-9430
Mailing address
225 PAMELA DR, MOUNTAIN VIEW, CA 94040-4209
(805) 660-0610

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
267090
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
267090
STATE LICENSE
CA
Enumeration date
02/28/2007
Last updated
04/25/2013
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