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Jimmica Collins

Student in an Organized Health Care Education/Training Program in Antioch, CA. Individual provider (NPI-1).

NPI number1316631955
StatusActive
Last updated in NPPESMar 23, 2026

Details

NPI
1316631955
Entity type
Individual (NPI-1)
Name
Jimmica Collins
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 6, 2023
Certification date
Mar 23, 2026
Last updated
Mar 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
225700000X Massage Therapist80507CA

Practice location

600 Wilbur Ave
Antioch, CA 94509-7503

Phone 415-658-1733

Mailing address

600 Wilbur Ave
Antioch, CA 94509-7503

Phone 415-658-1733

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