Individual
COLLAN VANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 WOODBROOKE DR STE 102, SALISBURY, MD 21804-2317
(410) 546-2702
Mailing address
20410 CENTURY BLVD STE 215, GERMANTOWN, MD 20874-1187
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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