Individual
EDITH MARIE COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Mailing address
818 MAGNOLIA ST, LIVINGSTON, TX 77351-3118
(936) 933-5071
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
139383
TX
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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