Individual
ANNA BAUSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1396 NORMANDY DR NE APT 4, ATLANTA, GA 30306-2531
(912) 312-3596
Mailing address
1396 NORMANDY DR NE APT 4, ATLANTA, GA 30306-2531
(912) 312-3596
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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