Individual
DUANE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13214 S MAIN ST, LOS ANGELES, CA 90061-1610
(424) 538-9836
Mailing address
13214 S MAIN ST, LOS ANGELES, CA 90061-1610
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F4412568
CA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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