Individual
DAISY MARIE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3500 CANYON RIDGE AVE, FORT WORTH, TX 76103
(817) 501-2769
Mailing address
3500 CANYON RIDGE AVE, FORT WORTH, TX 76103-3010
(817) 501-2769
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
080240
TX
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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