Individual
STEPHANIE MARIE NUSSRALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-6718
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
4365
NE
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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