Individual
NICOLE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 WILLOW CREEK ESTATES CT, FLORISSANT, MO 63031-1659
(314) 308-3007
Mailing address
7 WILLOW CREEK ESTATES CT, FLORISSANT, MO 63031-1659
(314) 308-3007
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MO
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MO
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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