Individual
TIFFANY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 B ST STE 1570, SAN DIEGO, CA 92101-4560
(619) 615-0439
(619) 615-3197
Mailing address
1316 S GEORGIA AVE, MASON CITY, IA 50401-5944
(641) 530-1240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101337
OK
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
585990
CA
Other
Enumeration date
01/10/2012
Last updated
08/18/2016
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