Individual
BERNICE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 ISAAC CIR APT D, WYLIE, TX 75098-9036
(972) 880-7217
(214) 440-2276
Mailing address
405 ISAAC CIR APT D, WYLIE, TX 75098-9036
(972) 880-7217
(214) 440-2276
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
33676977
TX
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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