Individual
JERELL M. COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., ES
Contact information
Practice address
3341 YOUREE DR, SUITE 101, SHREVEPORT, LA 71105-2149
(318) 219-4167
Mailing address
3341 YOUREE DR, SUITE 101, SHREVEPORT, LA 71105-2149
(318) 840-9378
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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