Individual
MRS. LATRELLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 SEQUOIA CT, NORTH DINWIDDIE, VA 23803-8714
(804) 605-4995
Mailing address
5203 SEQUOIA CT, NORTH DINWIDDIE, VA 23803-8714
(804) 605-4995
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0002090546
VA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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