Individual
ALLI COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(337) 534-0952
Mailing address
5000 AMBASSADOR CAFFERY PKWY STE A, LAFAYETTE, LA 70508-6984
(337) 534-0952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
343163
LA
Other
Enumeration date
06/11/2024
Last updated
07/17/2024
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