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: |