Individual
MRS. CONNIE MARIE TEAL
Active
Individual
MRS. CONNIE MARIE TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS-BC
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
COA 14405-NS
OH
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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