Individual
CHARLES OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2259 MYRTLE AVE, EUREKA, CA 95501-3325
(707) 444-8293
Mailing address
2917 D ST, EUREKA, CA 95501-4348
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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