Individual
MR. GREGORY WATSON COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
56 NEWPORT LANDING DR, NOVATO, CA 94949-8214
(415) 497-2411
Mailing address
56 NEWPORT LANDING DR, NOVATO, CA 94949-8214
(415) 497-2411
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC15233
CA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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