Individual
CRYSTAL ELISHA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5103 43RD AVE, HYATTSVILLE, MD 20781-2039
(336) 266-4236
Mailing address
9815 GOOD LUCK RD # 201, LANHAM, MD 20706-3359
(202) 361-4256
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/28/2016
Last updated
07/25/2023
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