Individual
TIFFONAE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2800
Mailing address
2250 SOQUEL AVE, SANTA CRUZ, CA 95062-1402
(831) 600-2800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336432
MS
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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