Individual
PATRICIA A OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
306 W 5TH, NOME, AK 99762
(907) 443-3311
(907) 443-6412
Mailing address
306 W 5TH, NOME, AK 99762
(907) 443-3311
(907) 443-6412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
75
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75
—
AK
Enumeration date
04/09/2007
Last updated
07/09/2007
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