Individual
MS. EDNA JEAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15611 MOUNTAIN VALLEY PLACE, LAKESIDE, CA 92040
(619) 561-6455
Mailing address
PO BOX 1894, LAKESIDE, CA 92040
(619) 561-6455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
234363
CA
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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