Individual
COLETTE IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16630 BUTTS RD, HOWARD, OH 43028-9678
(740) 398-4503
Mailing address
16630 BUTTS RD, HOWARD, OH 43028-9678
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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