Individual
MISS PRINCESS KOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 22ND AVE, MARION, IA 52302-1623
(319) 651-3737
Mailing address
2525 22ND AVE, MARION, IA 52302-1623
(319) 651-3737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
IA
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/17/2022
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