Most Relevant Information
Provider Data
| NPI Number: | 1003532763 |
| Provider Name: | KRISTINE MICHELLE COLEMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2022 |
| Last Updated: | 10/14/2022 |
Provider Practice Location
2551 S FORT APACHE RD STE 102
LAS VEGAS
NV
891178700
Practice Location Phone/Fax
| Phone: | 7023850920 |
| Fax: |
Provider Mailing Location
2551 S FORT APACHE RD STE 102
LAS VEGAS
NV
891178700
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |