Individual
ANGELA DAWN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2480 MACIEL LN, CRESCENT CITY, CA 95531-8633
(707) 464-9578
Mailing address
PO BOX 1044, CRESCENT CITY, CA 95531-1044
(707) 464-9578
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
977
CA
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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