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ANASTASIA COLLINS DO

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1285098848

Individual Registrant:
 ANASTASIA  COLLINS DO
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9279 LOCUST ST.  PLYMOUTH, CA 95669 US
Tel: 209-245-6968  Fax: --

Contact information for business:
10470 OLD PLACERVILLE RD STE 100  SACRAMENTO, CA 95827-2539 US
Tel: 855-470-0071  Fax: --

Registration Information:
NPI: 1285098848
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A16471

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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