Individual
ELSA THERESA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2161 DUPONTE DR, PLACERVILLE, CA 95667-9343
(916) 317-2096
Mailing address
2161 DUPONTE DR, PLACERVILLE, CA 95667-9343
(916) 317-2096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95012787
CA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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