Individual
MR. COLEMAN ALAN HUMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3201 DATA DR, RANCHO CORDOVA, CA 95670-7374
(916) 851-1440
Mailing address
3201 DATA DR, RANCHO CORDOVA, CA 95670-7374
(916) 851-1440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009021
CA
Other
Enumeration date
06/06/2018
Last updated
08/07/2023
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