Individual
JAHQUEL COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 STABLE GLEN DR, N LAS VEGAS, NV 89031-1830
(702) 917-5585
Mailing address
921 STABLE GLEN DR, N LAS VEGAS, NV 89031-1830
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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