Individual
EVERDEAN T COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1602
(757) 314-7522
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-5548
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
0001086639
VA
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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