Individual
JUDY E OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1947 GARDEN AVE, LORAIN, OH 44052-3740
(440) 850-4107
Mailing address
1947 GARDEN AVE, LORAIN, OH 44052-3740
(440) 850-4107
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337656
—
OH
Enumeration date
07/24/2020
Last updated
07/24/2020
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