Individual
MS. STACY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
1002 SHERMAN CT, WALDORF, MD 20602-2923
(301) 705-5327
Mailing address
1002 SHERMAN CT, WALDORF, MD 20602-2923
(301) 705-5327
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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