Individual
JAKEEMA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
658 BARRIE RD, MIDDLETOWN, DE 19709-9938
(267) 262-4604
Mailing address
658 BARRIE RD, MIDDLETOWN, DE 19709-9938
(267) 262-4604
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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