Individual
SUZANNE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 616-0439
Mailing address
600 B ST STE 1570, SAN DIEGO, CA 92101-4560
(619) 615-0439
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
681237
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
681237
CA
Other
Enumeration date
04/20/2021
Last updated
02/09/2024
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