Evelyn Coleman

NPI #1336688589 in O Fallon, Illinois

Provider Information

NPI Number: 1336688589
Entity Type: Individual
Name: Evelyn Coleman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 21, 2017
Last Updated: Feb 21, 2017

Practice Location

Address: 1415 PRINCETON DR
City: O Fallon
State: Illinois
ZIP Code: 62269-2717
Phone: (618) 855-4353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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