Individual
JACOB DANIEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
7950 E STARLIGHT WAY UNIT 203, SCOTTSDALE, AZ 85250-6135
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
242729
AZ
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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