Individual
TIELESHA M COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8808 IRISH BEND DR, FORT WORTH, TX 76123-2630
(817) 905-0812
(682) 255-5429
Mailing address
8808 IRISH BEND DR, FORT WORTH, TX 76123-2630
(817) 905-0812
(682) 255-5429
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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