Individual
MRS. RAQUEL LYNETTE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
8873 W POTOMAC AVE, MILWAUKEE, WI 53225-4146
(414) 439-7456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220654-30
WI
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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