Individual
SHANA-LEE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 KEARNY AVE, KEARNY, NJ 07032-2505
(201) 998-8787
Mailing address
16 MARSHALL ST APT 7A, IRVINGTON, NJ 07111-8610
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR23192900
NJ
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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