Individual
MRS. CAROLYN MARIE OWENS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 CAMBRIDGE AVE, HAGERMAN, NM 88232-9610
(575) 752-0001
(575) 752-3255
Mailing address
406 CAMBRIDGE AVE, HAGERMAN, NM 88232-9610
(575) 752-0001
(575) 752-3255
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RO9981
NM
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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