Individual
TASHONA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 KINGS OAK CIR APT 204, KINGS MOUNTAIN, NC 28086-3388
(704) 349-8946
Mailing address
128 KINGS OAK CIR APT 204, KINGS MOUNTAIN, NC 28086-3388
(704) 349-8946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000031490448
NC
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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