Individual
RUTH COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10331 109TH AVE, LARGO, FL 33773-4108
(727) 319-0529
Mailing address
10331 109TH AVE, LARGO, FL 33773-4108
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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