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Individual

ELIZABETH COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4440 BROCKTON AVE STE 420, RIVERSIDE, CA 92501-4026
(951) 684-8020
Mailing address
4440 BROCKTON AVE STE 420, RIVERSIDE, CA 92501-4026
(951) 684-8020

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95007134
CA

Other

Enumeration date
08/16/2017
Last updated
08/16/2017
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