Individual
PAVLINA CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5611 CASCADE RD SE, GRAND RAPIDS, MI 49546-6409
(616) 256-4200
Mailing address
5611 CASCADE RD SE, GRAND RAPIDS, MI 49546-6409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704278680
MI
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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