Individual
JAYLIN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 W VINE ST, OPELOUSAS, LA 70570-5153
(337) 504-2655
Mailing address
119 W VINE ST, OPELOUSAS, LA 70570-5153
(337) 504-2655
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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