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NPI Code Detail

MEDICARE: MISS PRINCESS D COLEMAN

MEDICARE: MISS PRINCESS D COLEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist146660CA

General Provider Information

NPI Number : 1245560556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PRINCESS D COLEMAN
Provider Business Mailing Address
First Line : 6139 GAVIOTA AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-3621
Country : US
Telephone Number : 562-507-6575
Fax Number :
Provider Business Practice Location Address
First Line : 6139 GAVIOTA AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-3621
Country : US
Telephone Number : 562-507-6575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2010
Last Update Date : 03/31/2025

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Directions to “ MISS PRINCESS D COLEMAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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