Individual
MR. SEAN FITZGERALD COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14726 RAMONA AVE STE AND107, CHINO, CA 91710-5730
(909) 393-7322
(310) 343-6040
Mailing address
9055 SAN SIMEON DR, ALTA LOMA, CA 91701-6603
(909) 476-3797
(909) 476-3797
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12845
CA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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