Individual
THOMAS IVAN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
935 SPRING ST # B, PLACERVILLE, CA 95667-4543
(530) 621-6213
Mailing address
935 SPRING ST # B, PLACERVILLE, CA 95667-4543
(530) 621-6213
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
821643
CA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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