Most Relevant Information
Provider Data
| NPI Number: | 1003030826 |
| Provider Name: | BEULAH COLLINS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2007 |
| Last Updated: | 07/26/2007 |
Provider Practice Location
4727 W. ALMERIA RD
PHOENIX
AZ
850354025
Practice Location Phone/Fax
| Phone: | 6022789221 |
| Fax: |
Provider Mailing Location
1522 E. SOUTHERN AVE
PHOENIX
AZ
850403543
Provider Mailing Phone/Fax
| Phone: | 6022431773 |
| Fax: |