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Individual

ALKIESHA TYREE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8926 WOODYARD RD STE 602, CLINTON, MD 20735-4235
(301) 868-9414
(301) 868-6055
Mailing address
8926 WOODYARD RD STE 602, CLINTON, MD 20735-4235
(301) 868-9414
(301) 868-6055

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008203
VA
363A00000X
Physician Assistant
Primary
C0008169
MD
363A00000X
Physician Assistant
PA52681
CA
363AM0700X
Medical Physician Assistant
5601005170
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601005170
STATE LICENSE
MI
Enumeration date
11/13/2007
Last updated
04/16/2026
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