Individual
MR. CARLOS M. COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, NSHS-SD IDC DEPT, SAN DIEGO, CA 92134-7000
(619) 532-5109
Mailing address
1418 TRAILWOOD AVE, CHULA VISTA, CA 91913-2964
(619) 985-5915
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/03/2006
Last updated
07/08/2007
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