Individual
COLLETTE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 RECTOR ST, NEW YORK, NY 10006-1705
(718) 272-6025
Mailing address
24138 128TH DR, ROSEDALE, NY 11422-1059
(718) 272-6025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
268046-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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