ETIENNA COLEMAN

SAINT LOUIS, MO
NPI1780135020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: MO  81-3262557)
Enumeration Date2016-10-21
Last Update Date2016-12-30
Business Address
-- ETIENNA COLEMAN
3621 LOUISIANA AVE
SAINT LOUIS, MO 63118-3509
Phone number: 314-550-2990
Mailing Address
-- ETIENNA COLEMAN
3621 LOUISIANA AVE
SAINT LOUIS, MO 63118-3509
Phone number: 314-550-2990