Individual
JEANA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 S TRENT LN, CANEY, OK 74533-3455
(580) 889-1030
Mailing address
9120 S TRENT LN, CANEY, OK 74533-3455
(580) 889-1030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
826684
TX
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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