Individual
VANESSA LORETTA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CSR, LD
Contact information
Practice address
159 FOX CHASE DR, GOOSE CREEK, SC 29445-5413
(301) 758-8254
Mailing address
159 FOX CHASE DR, GOOSE CREEK, SC 29445-5413
(301) 758-8254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
942920
SC
133VN1005X
Renal Nutrition Registered Dietitian
Primary
942920
SC
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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