MRS. Colleen Marie Su

NPI #1962668384 in Mojave, California

Provider Information

NPI Number: 1962668384
Entity Type: Individual
Name: MRS. Colleen Marie Su
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Aug 5, 2008
Last Updated: Jan 14, 2010

Practice Location

Address: 16940 HIGHWAY 14
Address 2: C-F
City: Mojave
State: California
ZIP Code: 93501-1238
Phone: (661) 824-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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