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Individual

CHRISTINE L. COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1227 E LA AVE, SIMI VALLEY, CA 93065-2871
(805) 582-4075
Mailing address
2290 EMMETT AVE, SIMI VALLEY, CA 93063-3522
(805) 791-5012

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
361717
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
361717
RN
CA
Enumeration date
11/09/2006
Last updated
09/21/2022
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