Individual
CONNIE L COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11664 ROAD Z, COLUMBUS GROVE, OH 45830-9720
(419) 615-3856
Mailing address
113 N BROADWAY ST, COLUMBUS GROVE, OH 45830-1202
(419) 204-0888
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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