Individual
TAYLOR SADIELYNN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HACKETT RD, MODESTO, CA 95358-9800
(209) 247-8772
Mailing address
251 E HACKETT RD, MODESTO, CA 95358-9800
(350) 220-9472
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-IGCEBW
CA
372600000X
Adult Companion
MPSS-IGCEBW
CA
Other
Enumeration date
10/13/2020
Last updated
12/19/2025
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