Individual
ERICA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3504 TERRAZA MAR AVE, LAS VEGAS, NV 89081
(702) 403-4777
Mailing address
3504 TERRAZA MAR AVE, NORTH LAS VEGAS, NV 89081-6600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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