Individual
JAN COAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHN/RN
Contact information
Practice address
1130 CONROY LN, STE 301, ROSEVILLE, CA 95661-4156
(916) 784-6402
Mailing address
1130 CONROY LN, STE 301, ROSEVILLE, CA 95661-4156
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
203164
CA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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