Provider Demographics
NPI:1417635368
Name:COLEMAN, RHEZA OLLERO
Entity Type:Individual
Prefix:
First Name:RHEZA
Middle Name:OLLERO
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 FOOTHILL BLVD # 185
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3516
Mailing Address - Country:US
Mailing Address - Phone:818-288-1032
Mailing Address - Fax:888-520-9676
Practice Address - Street 1:4455 ARDEN DR
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1501
Practice Address - Country:US
Practice Address - Phone:626-444-1972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach