Individual
KATIE LYNN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 MAGNOLIA LN, BLUEFIELD, VA 24605-1347
(304) 888-2965
Mailing address
131 MAGNOLIA LN, BLUEFIELD, VA 24605-1347
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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