Individual
MR. MATTHEW COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1617 BROADWAY ST, VALLEJO, CA 94590-2406
(866) 251-4514
Mailing address
1617 BROADWAY ST, VALLEJO, CA 94590-2406
(866) 251-4514
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/04/2010
Last updated
09/24/2013
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