Organization
MOZELL E COLEMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOZELL COLEMAN (LVN)
(909) 717-1279
Entity
Organization
Contact information
Practice address
1456 W VICTORIA ST, RIALTO, CA 92376-4620
(909) 717-1279
Mailing address
1456 W VICTORIA ST, RIALTO, CA 92376-4620
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
EPS015780
CA
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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