Individual
MRS. COLLEEN PATRICIA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
7551 KISMET ST, MIRAMAR, FL 33023-5946
(954) 391-9516
(954) 530-6958
Mailing address
2960 NW 55TH AVE, APARTMENT 1 C, LAUDERHILL, FL 33313-1418
(954) 661-3090
(954) 530-6958
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 38957
FL
Other
Enumeration date
06/21/2013
Last updated
08/04/2013
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