Individual
CHANEL M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
805 COLUSA ST, VALLEJO, CA 94590-5331
(916) 747-7885
Mailing address
805 COLUSA ST, VALLEJO, CA 94590-5331
(916) 747-7885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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