Individual
EDDIE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W TOKAY ST, LODI, CA 95240-3965
(925) 999-4119
Mailing address
1111 W TOKAY ST, LODI, CA 95240-3965
(925) 999-4119
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
08/20/2025
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