SearchMissouri343900000X

Freddie Collins

NPI 1356190169 · on the registry since 2024 · sole proprietor

Practice

Address
1604 Grape Ave
Saint Louis, MO 63147
Phone
(314) 947-0949

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri