Individual
CHARICE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4207 DYSART ST, SAN ANTONIO, TX 78220-1641
(210) 789-0173
Mailing address
4207 DYSART ST, SAN ANTONIO, TX 78220-1641
(210) 789-0173
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
310743
TX
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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