Individual
SAMUEL OWINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3128 TOBACCO RD, NORTH POLE, AK 99705-6758
(907) 388-6696
Mailing address
3128 TOBACCO RD, NORTH POLE, AK 99705-6758
(907) 388-6696
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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