Individual
MALIK ROSHON COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 ALPINE STREET, UPLAND, CA 91786
(619) 887-3816
Mailing address
440 ALPINE STREET, UPLAND, CA 91786
(619) 887-3816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78959
CA
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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