Individual
LEAH ANTOINETTE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCM
Contact information
Practice address
24 POULTON DR NW, FORT WALTON BEACH, FL 32548-4500
(813) 847-4226
(850) 601-9710
Mailing address
24 POULTON DR NW, FORT WALTON BEACH, FL 32548-4500
(813) 847-4226
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
39972617
FL
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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