Individual
DR. ANGELA SUZANNE COASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12984 HESPERIA RD, VICTORVILLE, CA 92395-5819
(909) 268-1086
Mailing address
14213 LAURAMORE CT, FONTANA, CA 92336-3541
(909) 268-1086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21766
CA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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