Quelyn Coleman

NPI 1134528003 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1134528003
Gender Female
Enumeration Date 08/17/2014
Last Updated 08/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2609 RAINBOW GLOW ST
N LAS VEGAS NV, 89030-3709, US
Phone (702) 561-0866
Fax
Business Location
2609 RAINBOW GLOW ST
N LAS VEGAS NV, 89030-3709, US
Phone (702) 561-0866
Fax
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Quelyn Coleman NPI is 1134528003, taxonomy code is 302R00000X Quelyn Coleman physically located at 2609 Rainbow Glow St, N Las Vegas NV, 89030-3709. NPI Number Quelyn Coleman has the Individual type.

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1134528003 NPI number is provided on an as is basis without warranty of any kind. 1134528003 is maintained by the National Plan & Provider Enumeration System. The contents of Quelyn Coleman are for informational purposes only.