Individual
CHEVONNE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1622 W GLENWOOD AVE, PHILADELPHIA, PA 19132-2242
(215) 407-7322
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9993924
PA
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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