Individual
MRS. COLLEEN MARY MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
880 NORTHCREST DR, CRESCENT CITY, CA 95531-2313
(707) 464-3191
(707) 465-6701
Mailing address
880 NORTHCREST DR, CRESCENT CITY, CA 95531-2313
(707) 464-3191
(707) 465-6701
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN 89517
CA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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