Individual
TIERICE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3705 CARLETON AVE, ANCHORAGE, AK 99517-1542
(907) 203-7333
Mailing address
PO BOX 90654, ANCHORAGE, AK 99509-0654
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
101930
AK
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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