Individual
LAURA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Mailing address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704249234
MI
405300000X
Prevention Professional
4704249234
MI
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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