Individual
DEBRAW MICHELLE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 LAVA LN, ALAMOSA, CO 81101-3578
(719) 589-5176
(719) 589-3824
Mailing address
2265 LAVA LN, ALAMOSA, CO 81101-3578
(719) 589-5176
(719) 589-3824
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0039841
CO
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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