Individual
MOLLY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23079 CREST FOREST DRIVE, CRESTLINE, CA 92325
(909) 436-8461
Mailing address
PO BOX 4763, CRESTLINE, CA 92325-4763
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
—
—
2278E0002X
Emergency Care Certified Respiratory Therapist
—
—
2278G0305X
Geriatric Care Certified Respiratory Therapist
—
—
2278G1100X
General Care Certified Respiratory Therapist
—
—
2278H0200X
Home Health Certified Respiratory Therapist
Primary
30048
CA
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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