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Search › Missouri › 374U00000X

Etienna Coleman

NPI 1780135020 · on the registry since 2016 · sole proprietor

Practice

Address
3621 Louisiana Ave
Saint Louis, MO 63118
Phone
(314) 550-2990
Organisation at this address
Home Forever Professional Care
Home Forever Professional Care Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri