Individual
MRS. DEANNA MICHELLE OWENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 805-0599
Mailing address
11911 CRAYTON CT, HERNDON, VA 20170-2453
(703) 286-5436
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
140765
TX
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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