Individual
ALICIA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9720 57TH AVE APT 5E, CORONA, NY 11368-3530
(347) 414-6768
Mailing address
9720 57TH AVE APT 5E, CORONA, NY 11368-3530
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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