Individual
MRS. AMELIA NACCARTO-COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
218 W MAIN ST, SUITE 103, TUSTIN, CA 92780-7719
(949) 466-4633
(949) 551-1327
Mailing address
218 W MAIN ST, SUITE 103, TUSTIN, CA 92780-7719
(949) 466-4633
(949) 551-1327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12082
CA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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