Individual
ADDYSON CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22023 COPPER RIDGE RD, GRETNA, NE 68028-5709
(402) 507-8522
Mailing address
22023 COPPER RIDGE RD, GRETNA, NE 68028-5709
(402) 507-8522
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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