Individual
MRS. JOANNE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 SE CHURCH AVE, LAKE CITY, FL 32025-5378
(386) 288-6291
(386) 243-8545
Mailing address
404 SE CHURCH AVE, LAKE CITY, FL 32025-5378
(386) 288-6291
(386) 243-8545
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
464222934
FL
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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