Individual
TASHAIA S COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
204 COURTNEY WAY, MOUNT LAUREL, NJ 08054-6324
(609) 682-0443
Mailing address
204 COURTNEY WAY, MOUNT LAUREL, NJ 08054-6324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07209300
NJ
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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