Individual
PAMELA COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2616 BACH AVE, PORTAGE, MI 49024-6604
(269) 352-1178
Mailing address
2616 BACH AVE, PORTAGE, MI 49024-6604
(269) 352-1178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704137197
MI
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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