person
Dwight Randolph Coleman JR.
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1275870206

Dwight Randolph Coleman JR. is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Dwight Randolph Coleman JR. practices in Albuquerque, NM. The NPI Number for Dwight Randolph Coleman JR. is 1275870206 and holds a License No. (New Mexico).

The current practice location address for Dwight Randolph Coleman JR. is 2600 Marble Ave Ne, Albuquerque, NM and can be reached out via phone at 505-272-2190.

Location: 2600 Marble Ave Ne, Albuquerque, NM, 87106-2058
person
Provider Profile Details
NPI Number
1275870206
Provider Name
Dwight Randolph Coleman JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 Marble Ave Ne, Albuquerque, NM, 87106-2058
Phone Number
505-272-2190
Fax Number
Provider Enumeration Date
01/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 Marble Ave Ne
City
State
Zip
87106-2058
Phone Number
505-272-2190
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Marble Ave Ne
City
State
Zip
87106-2058
Phone Number
505-272-2190
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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