Individual
SHAPALE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 PASEO VERDE DR, LEANDER, TX 78641-8293
(662) 313-8226
Mailing address
1814 PASEO VERDE DR, LEANDER, TX 78641-8293
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
MTA-01015249
CA
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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