Individual
MRS. SHUNIKA ISON COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 NIKKI VIEW DR, BRANDON, FL 33511
(754) 281-0686
Mailing address
1116 NIKKI VIEW DR, BRANDON, FL 33511-4868
(754) 281-0686
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
06/04/2018
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