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Individual

ANTHONY COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2810 ALICIA PL, HEMET, CA 92545-1218
(951) 259-3997
Mailing address
2810 ALICIA PL, HEMET, CA 92545-1218
(951) 259-3997

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84319
CAMTC
CA
Enumeration date
11/24/2020
Last updated
11/24/2020
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