Individual
DR. BROOKE A COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3953 W STETSON AVE, HEMET, CA 92545-9687
(951) 652-4343
(951) 765-6039
Mailing address
3953 W STETSON AVE, HEMET, CA 92545-9687
(951) 652-4343
(951) 765-6039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13551
CA
152W00000X
Optometrist
Primary
OPT1355TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT13551T
BOARD OF OPTOMETRY
CA
Enumeration date
07/17/2008
Last updated
12/09/2010
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