Individual
CHIQUITA CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
2112 RATCLIFFE AVE, LOUISVILLE, KY 40210-2252
(804) 651-2688
Mailing address
6709 REBECCA LN, LOUISVILLE, KY 40258-3011
(804) 651-2688
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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