Individual
MRS. SCHAWANDA ALLEN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2753 GREENWOOD RD, SHREVEPORT, LA 71109-4657
(318) 629-5391
(318) 629-5392
Mailing address
2753 GREENWOOD RD, SHREVEPORT, LA 71109-4657
(318) 629-5391
(318) 629-5392
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
ADHC 5051
LA
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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