Individual
HEAVENLEE ANGEL JEAN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 E MAIN ST, MONTPELIER, OH 43543-1242
(419) 212-6336
Mailing address
622 E MAIN ST, MONTPELIER, OH 43543-1242
(419) 212-6336
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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