Individual
MRS. W. LEANNE OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
510 SYCAMORE ST, CLARKSTON, WA 99403-2669
(509) 780-3305
Mailing address
2315 VALLEYVIEW CT, CLARKSTON, WA 99403-1233
(509) 758-9141
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00014090
WA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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