Individual
TERRYL OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
5 CROSS LN, GLEN HEAD, NY 11545-1109
(646) 462-5714
Mailing address
5 CROSS LN, GLEN HEAD, NY 11545-1109
(646) 462-5714
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
85002123
NY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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