Individual
MS. STEPHANIE LEANN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
102 BONHAM RD STE 5, BRISTOL, VA 24202-5980
(276) 466-4327
(276) 466-4343
Mailing address
102 BONHAM RD STE 5, BRISTOL, VA 24202-5980
(276) 466-4327
(276) 466-4343
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2102003121
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102003121
LICENSE NUMBER
VA
Enumeration date
07/07/2022
Last updated
07/07/2022
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