Individual
MISS CRYSTAL COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 79TH ST, URBANDALE, IA 50322-2409
(515) 418-5146
Mailing address
4025 79TH ST, URBANDALE, IA 50322-2409
(515) 418-5146
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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