Individual
CANDYCE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 E PALMDALE BLVD, SUITE G, PALMDALE, CA 93550-4881
(661) 947-1595
Mailing address
5817 SAINT LAURENT DR, PALMDALE, CA 93552-3319
(661) 675-8693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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