Individual
LATISHA A COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4151 EAST 106ST, CLEVELAND, OH 44105
(216) 466-7586
Mailing address
4151 E 106TH ST, CLEVELAND, OH 44105-5308
(216) 466-7586
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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