Individual
DEANNA LA SHUN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1933 W BURGESS LN, PHOENIX, AZ 85041-5440
(602) 295-5684
Mailing address
1933 W BURGESS LN, PHOENIX, AZ 85041-5440
(602) 295-5684
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
5337
AZ
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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