Individual
JOLYNDA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1071 COUNTRY CLUB DR STE 105, MANSFIELD, TX 76063-2663
(817) 459-3632
Mailing address
1071 COUNTRY CLUB DR STE 105, MANSFIELD, TX 76063-2663
(817) 459-3632
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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