Individual
MS. COLLEEN C CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
709 S 5TH ST, FORT PIERCE, FL 34950-8339
(772) 468-5601
(772) 468-5633
Mailing address
2837 SE PACE DR, PORT ST LUCIE, FL 34984-6220
(772) 878-3483
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5163250
FL
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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