Individual
DYANA L OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 WOODLAND SQUARE LOOP SE, LACEY, WA 98503-1069
(360) 763-5828
Mailing address
612 WOODLAND SQUARE LOOP SE, LACEY, WA 98503-1069
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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