Individual
GEORGIA ROSE MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
24275 JEFFERSON AVE, MURRIETA, CA 92562-7285
(951) 677-5599
(951) 677-8656
Mailing address
24275 JEFFERSON AVE, MURRIETA, CA 92562-7285
(951) 677-5599
(951) 677-8656
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
695104
CA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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