Individual
MS. GWEN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5077 NW 7TH STREET BLD #4 UNIT 710, MIAMI, FL 33125-3469
(803) 316-4070
Mailing address
5077 NW 7TH STREET BLD #4 UNIT 710, MIAMI, FL 33125-3469
(803) 316-4070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P7499
SC
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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