Individual
JESSIE SARA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S AUBURN ST, KENNEWICK, WA 99336-5621
(509) 221-7000
Mailing address
PO BOX 6128, KENNEWICK, WA 99336-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DOL.OL.60655198
WA
Other
Enumeration date
02/23/2016
Last updated
02/04/2022
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