Individual
TIA ANGELITA OWENS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 HAYWARD RD, HAMDEN, CT 06514-3327
(203) 812-0564
Mailing address
10 KAYE PLZ APT E19, HAMDEN, CT 06514-2259
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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