Individual
PATRICA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
430 40TH ST, 1ST FLOOR, OAKLAND, CA 94609-2691
(510) 653-9834
(510) 653-9037
Mailing address
693 HI TECH PKWY, OAKDALE, CA 95361-9372
(209) 845-8231
(209) 845-2883
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XA0026210
—
CA
Enumeration date
02/01/2011
Last updated
02/01/2011
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