Individual
JAMIE MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 P ST, SACRAMENTO, CA 95816-6403
(916) 452-3073
(916) 452-1565
Mailing address
2727 P ST, SACRAMENTO, CA 95816-6403
(916) 452-3073
(916) 452-1565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/04/2008
Last updated
04/25/2009
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