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Individual

ASHLEY OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
975 RYLAND ST STE 100, RENO, NV 89502-1669
(775) 982-5000
(775) 982-5225
Mailing address
640 W MOANA LN, RENO, NV 89509-4903
(775) 324-0699
(775) 323-6814

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1770
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1770
PA-C LICENSURE
NV
Enumeration date
08/04/2016
Last updated
06/02/2021
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