Individual
JARED MICHAEL COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 ODARA DR APT 106, FOREST, VA 24551-3161
(434) 610-0540
Mailing address
140 ODARA DR APT 106, FOREST, VA 24551-3161
(434) 610-0540
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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