Individual
KEOSHIA S COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
6941 FLORENCE BLVD, OMAHA, NE 68112-3413
(757) 597-3390
Mailing address
6941 FLORENCE BLVD, OMAHA, NE 68112-3413
(757) 597-3390
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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