Individual
MR. HARLAN KEITH COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7961 VALLEY VIEW ST, LA PALMA, CA 90623-1848
(714) 868-8544
Mailing address
7961 VALLEY VIEW ST, LA PALMA, CA 90623-1848
(714) 868-8544
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
56951
CA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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