Individual
OMUSI RANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5222 ANDRUS AVE STE C, ORLANDO, FL 32810-5456
(407) 683-0177
Mailing address
5222 ANDRUS AVE STE C, ORLANDO, FL 32810-5456
(407) 683-0177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
02/19/2014
Last updated
06/19/2024
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