Individual
TERRI OWSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1657 E LAUREL AVE, GILBERT, AZ 85234-8248
(602) 821-1807
Mailing address
1657 E LAUREL AVE, GILBERT, AZ 85234-8248
(602) 821-1807
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
39920003
AZ
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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