| NPI | 1255316303 |
|---|---|
| Other Name | DANA MARIE COLLAGUAZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IA 35089) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 35089) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2015-02-13 |