Individual
MRS. STEPHANIE M NAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFOM
Contact information
Practice address
110 OSIGIAN BLVD, WARNER ROBINS, GA 31088-7880
(478) 953-2922
Mailing address
88 FALKIRK DR, WARNER ROBINS, GA 31088-1227
(478) 333-3217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CFOM0390
ABC CERTIFIED FITTER OM
GA
Enumeration date
11/20/2006
Last updated
07/08/2007
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