Individual
ETRENDA CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
206 S PATTERSON ST, THIRD FLOOR, VALDOSTA, GA 31601-5668
(229) 245-6565
(229) 245-6561
Mailing address
2807 ARROWLEAF DR, VALDOSTA, GA 31601-2771
(229) 245-6565
(229) 245-6561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN057301
GA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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