Individual
BONNY LOU OWENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CVBCS
Contact information
Practice address
1405 SHERIDAN DR, TONAWANDA, NY 14217-1248
(716) 836-4090
(716) 836-4036
Mailing address
1405 SHERIDAN DR, TONAWANDA, NY 14217-1248
(716) 836-4090
(716) 836-4036
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01482631
—
NY
Enumeration date
06/15/2005
Last updated
07/08/2007
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