Individual
ANDREA ROSE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9477 GREENBACK LN STE 520, FOLSOM, CA 95630-2087
(916) 985-9686
Mailing address
121 KENNAR WAY, FOLSOM, CA 95630-8070
(916) 969-2847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
36348
CA
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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