Individual
BRANDY LYNN OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8224 W CHARLESTON BLVD, STE 1, LAS VEGAS, NV 89117-9096
(702) 233-8771
Mailing address
2627 S LAMB BLVD, TRLR 44, LAS VEGAS, NV 89121-1827
(575) 518-9007
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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