Individual
NICHOLAS OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4111 ROBERT E LEE DR, NORTH PRINCE GEORGE, VA 23860-7529
(804) 439-1264
Mailing address
4111 ROBERT E LEE DR, NORTH PRINCE GEORGE, VA 23860-7529
(804) 439-1264
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
—
—
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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