Individual
SHADEANA LATOYA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5394 MAYBANK HIGH WAY, WADMALAW ISLAND, SC 29487
(843) 534-9667
Mailing address
5394 MAYBANK HIGH WAY, WADMALAW ISLAND, SC 29487
(843) 534-9667
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
167718
SC
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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