Individual
BECKY OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2883 S GRANITE ST, GILBERT, AZ 85295-8324
(317) 626-8319
Mailing address
2883 S GRANITE ST, GILBERT, AZ 85295-8324
(317) 626-8319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN191471
AZ
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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