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Constance Ediale
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1720666886

Constance Ediale is a Student in an Organized Health Care Education/Training Program based in Lawrenceville, GA. Constance Ediale practices in Lawrenceville, GA. The NPI Number for Constance Ediale is 1720666886 and holds a License No. (Georgia).

The current practice location address for Constance Ediale is 665 Duluth Hwy Ste 401, Lawrenceville, GA and can be reached out via phone at 678-895-7518.

Location: 665 Duluth Hwy Ste 401, Lawrenceville, GA, 30046-1190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720666886
Provider Name
Constance Ediale
Credential
Provider Entity Type
Individual
Gender
Female
Address
665 Duluth Hwy Ste 401, Lawrenceville, GA, 30046-1190
Phone Number
678-895-7518
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
665 Duluth Hwy Ste 401
City
Lawrenceville
State
Georgia
Zip
30046-4303
Phone Number
678-895-7518
Fax Number
person
Provider Business Mailing Address Details
Address
665 Duluth Hwy Ste 401
City
Lawrenceville
State
Georgia
Zip
30046-4303
Phone Number
678-895-7518
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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