Individual
JESSICA ANN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
3601 CALDWELL DR, SOQUEL, CA 95073-2055
(831) 576-3000
(831) 713-5398
Mailing address
3601 CALDWELL DR, SOQUEL, CA 95073-2055
(831) 576-3000
(831) 713-5398
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
565132
CA
2471C3402X
Radiography Radiologic Technologist
Primary
565132
CA
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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