Individual
GEORGIA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9306 GLENBROOK RD, FAIRFAX, VA 22031-3053
(703) 638-3594
Mailing address
9306 GLENBROOK RD, FAIRFAX, VA 22031-3053
(703) 638-3594
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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