Individual
RENEE ANN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W DEER ST, ODELL, IL 60460-9437
(815) 867-3442
Mailing address
101 W DEER ST, ODELL, IL 60460-9437
(815) 867-3442
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
01/10/2018
Last updated
06/16/2018
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