Individual
KEONTE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 LOUISIANA ST, RICHMOND, VA 23231-1213
(804) 324-8059
Mailing address
805 LOUISIANA ST, RICHMOND, VA 23231-1213
(804) 564-2677
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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