Individual
MS. LATASHA RENEE' OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 W 32ND ST RM 1704, NEW YORK, NY 10001-3839
(347) 968-1970
Mailing address
3 BAYLEY AVE, YONKERS, NY 10705-2943
(347) 968-1970
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
ACE-T-22-05651-2
NY
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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