Individual
WONESTTA ANNETTE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-3066
Mailing address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-3066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208076
LA
207R00000X
Internal Medicine Physician
MD.208076
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2012
Last updated
10/02/2018
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