Individual
RYAN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 SE EVERETT MALL WAY, APT 1217, EVERETT, WA 98208-3204
(312) 522-9232
Mailing address
120 SE EVERETT MALLWAY, APT 1217, EVERETT, WA 98208
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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