Individual
ALEXUS RENE' COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 FARRAGUT PL, JACKSONVILLE, FL 32207-3420
(904) 625-3860
Mailing address
17435 COLEMAN LN, HILLIARD, FL 32046-8213
(904) 625-3860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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