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Individual

LACHELLE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7575
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95035195
CA
363LF0000X
Family Nurse Practitioner
RN29893
GA

Other

Enumeration date
05/29/2024
Last updated
01/13/2026
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