Individual
COLLEEN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 LAKEVIEW AVE, MILFORD, DE 19963-1732
(302) 422-1600
Mailing address
5424 KILLENS POND RD, FELTON, DE 19943-1902
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0021809
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0021809
STATE OF DELAWARE
DE
Enumeration date
02/23/2018
Last updated
02/23/2018
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