Individual
DEONDREA OWENS
Active
Individual
DEONDREA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27067068C
IN
3747A0650X
Attendant Care Provider
Primary
240176031
IN
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
Update your record
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