Individual
CARMEN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 PATHWAY DR, FORT WORTH, TX 76119-2743
(682) 703-2449
Mailing address
PO BOX 19036, FORT WORTH, TX 76119-1036
(682) 703-2449
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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