Individual
JENNIFER OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QDDS
Contact information
Practice address
635 PHALEN BLVD APT 401, SAINT PAUL, MN 55130-5308
(612) 707-8121
Mailing address
PO BOX 28041, OAKDALE, MN 55128-0041
(612) 707-8121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MN
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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