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Individual

JESSENIA COLLAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2901 W 37TH AVE, HOBART, IN 46342-1727
(219) 942-2179
(219) 942-7781
Mailing address
5071 LAKEVIEW AVE, PORTAGE, IN 46368-4195
(219) 743-5359

Taxonomy

Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
28268531A
IN

Other

Enumeration date
12/23/2022
Last updated
12/23/2022
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