Individual
MS. DIANE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
255 GORDON ST, SUITE LB, STATEN ISLAND, NY 10304-1943
(888) 776-5191
(206) 888-6611
Mailing address
5220 N HENRY BLVD, STOCKBRIDGE, GA 30281-3245
(888) 776-5191
(206) 888-6611
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
2419552
GA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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