Individual
SUSIE M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6955 FOOTHILL BLVD STE 200, OAKLAND, CA 94605-2426
(510) 567-5726
(510) 567-5735
Mailing address
6955 FOOTHILL BLVD STE 200, OAKLAND, CA 94605-2426
(510) 567-5726
(510) 567-5735
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
455974
CA
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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