Individual
MR. BRUCE W. COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, PHN
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 777-3327
Mailing address
PO BOX 635311, SAN DIEGO, CA 92163-5311
(619) 777-3327
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
546069
CA
Other
Enumeration date
06/15/2010
Last updated
06/20/2013
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