Jared Michael Coffman
Jared Michael Coffman is a Student in an Organized Health Care Education/Training Program in Forest, Virginia. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
140 Odara Dr Apt 106Forest, VA 24551-3161
Phone: (434) 610-0540
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1972902815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 15, 2014 |
| Last updated in NPPES | August 15, 2014 |
| Mailing address | 140 Odara Dr Apt 106, Forest, VA 24551-3161 |
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