Individual
OWEN STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 OPEN RANGE AVE SW, LOS LUNAS, NM 87031-6389
(505) 353-6408
Mailing address
310 OPEN RANGE AVE SW, LOS LUNAS, NM 87031-6389
(505) 353-6408
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23448
NM
Other
Enumeration date
04/08/2019
Last updated
09/30/2021
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