Provider Demographics
NPI:1851591168
Name:COLLINS, YVONNE RENEE (N/A)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:RENEE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10217 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-3111
Mailing Address - Country:US
Mailing Address - Phone:510-559-1594
Mailing Address - Fax:510-559-1595
Practice Address - Street 1:10217 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-3111
Practice Address - Country:US
Practice Address - Phone:510-559-1594
Practice Address - Fax:510-559-1595
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator