Individual
COCO COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
99 WASHINGTON AVE, SUFFERN, NY 10901-6026
(312) 479-4854
Mailing address
12 OWL DR, MILTON, NY 12547-5459
(312) 479-4854
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313839
NY
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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