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Individual

COLLINS NDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3500 18TH ST NE, WASHINGTON, DC 20018-2738
(202) 529-6510
Mailing address
2010 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2835
(202) 526-3535

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
374U00000X
Home Health Aide
Primary
HHA14343
DC

Other

Enumeration date
03/26/2019
Last updated
01/30/2025
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