Individual
CEDRIC DWAYNE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42011 4TH ST WEST, SUITE 1900, LANCASTER, CA 93534
(661) 974-7600
(661) 974-7054
Mailing address
9150 E IMPERIAL HWY, ROOM P31, DOWNEY, CA 90242
(562) 940-3694
(562) 658-4725
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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