Individual
MARY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST/CHES
Contact information
Practice address
1837 NEBRASKA AVE, GRANTS PASS, OR 97527-5701
(541) 244-2197
Mailing address
1837 NEBRASKA AVE, GRANTS PASS, OR 97527-5701
(541) 244-2197
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
109
KS
174H00000X
Health Educator
—
—
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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