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Individual

MR. CHRISTOPHER LEE OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
464 INVESTORS PL STE 102C, VIRGINIA BEACH, VA 23452-1167
(757) 945-2536
Mailing address
1201 JADENS WAY, CHESAPEAKE, VA 23320-2470
(757) 769-9237

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
457803011
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
457803011
VA
Enumeration date
03/02/2023
Last updated
03/02/2023
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