Individual
MS. CHARLENE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
267 HAZELWOOD TER, ROCHESTER, NY 14609-5220
(585) 360-4636
Mailing address
267 HAZELWOOD TER, P.O. BOX 90553, ROCHESTER, NY 14609-5220
(585) 360-4636
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
282243-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02748974
—
NY
Enumeration date
06/03/2008
Last updated
06/03/2008
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