Most Relevant Information
Provider Data
| NPI Number: | 1003041070 |
| Provider Name: | JANE COLLINS RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 648-029 |
Most Important Dates
| Enumeration Date: | 05/20/2009 |
| Last Updated: | 05/20/2009 |
Provider Practice Location
3801 SPRING ST
RACINE
WI
534051667
Practice Location Phone/Fax
| Phone: | 2626875035 |
| Fax: |
Provider Mailing Location
3801 SPRING ST
RACINE
WI
534051667
Provider Mailing Phone/Fax
| Phone: | 2626875035 |
| Fax: |