Individual
CANDACE JENNIFER COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1367 31ST AVE S, SEATTLE, WA 98144-3946
(401) 368-9277
Mailing address
1367 31ST AVE S, SEATTLE, WA 98144-3946
(401) 368-9277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125062540
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
07/21/2022
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