Individual
TANJA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
6440 POTOMAC SQUARE LN # U, INDIANAPOLIS, IN 46268-5807
(317) 750-9922
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
48-01-05-04626
IN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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