Individual
MS. ELIZABETH GRACE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
110 CHESTNUT RIDGE RD # 130, MONTVALE, NJ 07645-1706
(510) 316-2772
Mailing address
110 CHESTNUT RIDGE RD # 130, MONTVALE, NJ 07645-1706
(510) 316-2772
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
10/20/2011
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