Individual
MS. BRANDIE A COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
230 GRAPEVINE RD, #205, VISTA, CA 92083-4038
(901) 874-3812
Mailing address
230 GRAPEVINE RD, #205, VISTA, CA 92083-4038
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
09/02/2011
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