Individual
COELA SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4487 GREAT SMOKEY CIR, MEDINA, OH 44256-7126
(904) 401-3299
Mailing address
4487 GREAT SMOKEY CIR, MEDINA, OH 44256-7126
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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