Individual
CANDACE LEE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2832 W ORIOLE DR, MILWAUKEE, WI 53209-4238
(414) 801-6262
Mailing address
2832 W ORIOLE DR, MILWAUKEE, WI 53209-4238
(414) 801-6262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167177-030
WI
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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