Individual
CELESTE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W. SUNSHINE ST, USMCFP, SPRINGFIELD, MO 65807
(417) 862-7041
Mailing address
706 W BENTWATER DR, NIXA, MO 65714-8464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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