Individual
MRS. ANGELA VICTORIA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
(904) 798-4544
Mailing address
3728 SOUTHBANK CIR, GREEN COVE SPRINGS, FL 32043-5234
(904) 360-7022
(904) 798-4544
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591867557
—
FL
Enumeration date
08/15/2013
Last updated
08/15/2013
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