Individual
SAMM COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 23RD ST APT 304, OAKLAND, CA 94612-1727
(510) 938-2707
Mailing address
540 23RD ST APT 304, OAKLAND, CA 94612-1727
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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