Individual
DEVOUGHN T. OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704188778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS630247107
ADULT FOSTER CARE PROVIDER FOR THE MENTALLY ILL AND DEVELOPMENTALLY DISABLED
MI
Enumeration date
05/11/2017
Last updated
04/02/2018
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