Individual
WIL OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 11TH AVE S # 516, BIRMINGHAM, AL 35205-3423
(205) 934-7053
Mailing address
670 JOHNNYS CV, LEEDS, AL 35094-6609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86297930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86297930
ACADEMY OF NUTRITION AND DIETETICS
AL
Enumeration date
09/08/2022
Last updated
09/08/2022
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