Individual
STEPHANIE NICOLE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8272
(850) 883-8240
Mailing address
83 5TH ST, SHALIMAR, FL 32579-1368
(850) 499-3350
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/14/2009
Last updated
04/15/2009
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