Individual
QUELYN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 RAINBOW GLOW ST, N LAS VEGAS, NV 89030-3709
(702) 561-0866
Mailing address
2609 RAINBOW GLOW ST, N LAS VEGAS, NV 89030-3709
(702) 561-0866
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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