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Individual

YAKIA COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5601 BRIDGE ST STE 300, FORT WORTH, TX 76112
(682) 221-9756
Mailing address
3201 FRANKLIN AVE STE 5, WACO, TX 76710-7358
(214) 854-0665
(254) 527-9089

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
Primary
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
366707201
TX
Enumeration date
10/15/2015
Last updated
08/25/2021
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