Individual
MS. SHETA COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
15516 MYRTLE AVENUE, HARVEY, IL 60426-4139
(708) 625-8046
Mailing address
15516 MYRTLE AVENUE, HARVEY, IL 60426-4139
(708) 625-8046
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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