Individual
CHARLENE MICHELLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00144858
WA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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