Most Relevant Information
Provider Data
NPI Number: | 1003177817 |
Provider Name: | ENJOLI COLLINS |
Entity Type: | Individual |
Taxonomy Code: | 225400000X |
Specialty: | Rehabilitation Practitioner |
License Number: |
Most Important Dates
Enumeration Date: | 06/07/2012 |
Last Updated: | 06/07/2012 |
Provider Practice Location
4730 E CRAIG RD
UNIT 2127
LAS VEGAS
NV
891152591
Practice Location Phone/Fax
Phone: | 7022726682 |
Fax: |
Provider Mailing Location
4730 E CRAIG RD
UNIT 2127
LAS VEGAS
NV
891152591
Provider Mailing Phone/Fax
Phone: | 7022726682 |
Fax: |