Individual
CRYSTAL RENEE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5235 W BOATWRIGHT CT, LECANTO, FL 34461-8595
(352) 400-3672
Mailing address
5235 W BOATWRIGHT CT, LECANTO, FL 34461-8595
(352) 400-3672
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906930
FL
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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