Individual
REBECCA ROSETTA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 FRONTLINE DR, FREDERICK, MD 21703-3906
(301) 305-9230
Mailing address
1133 FRONTLINE DR, FREDERICK, MD 21703-3906
(301) 305-9230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R201381
MD
163WC0400X
Case Management Registered Nurse
Primary
R201381
MD
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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