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Individual

HOLLY ELAINE OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3108
Mailing address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3108

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
448858
CA

Other

Enumeration date
12/12/2006
Last updated
12/30/2021
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