Individual
NITA JANECE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 TOWNSGATE PLZ, CLOVIS, NM 88101-3714
(575) 742-2620
(575) 742-3182
Mailing address
1574 ANVIL PL APT A, CLOVIS, NM 88101-2545
(405) 229-6960
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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