NPI 1063680734

Shanice Coleman, MEDICALASSISTANT

Practitioner Technician Ft. Rucker, AL

Practice location

Address: 301 Andrews Ave, Ft. Rucker, AL 36362
Phone: (333) 255-7755

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence 361204 (MT)

Other Technician providers in Alabama →

Registry record

NPI: 1063680734
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2008
Record last updated: 15 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.