ELLIS COLEMAN

ALEXANDRIA, VA
NPI1467203604
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: VA  IM1646)
Enumeration Date2024-03-27
Last Update Date2024-03-27
Business Address
ELLIS COLEMAN
1010 N FAIRFAX ST # 1016
ALEXANDRIA, VA 22314-2070
Phone number: 703-260-9860
Mailing Address
ELLIS COLEMAN
1010 N FAIRFAX ST # 1016
ALEXANDRIA, VA 22314-2070
Phone number: 703-260-9860
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