Individual
CHYVIA L OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6130 12TH AVE, KENOSHA, WI 53143-1127
(262) 237-9797
Mailing address
6130 12TH AVE, KENOSHA, WI 53143-1127
(262) 237-9797
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327705
WI
374J00000X
Doula
—
WI
Other
Enumeration date
04/04/2022
Last updated
05/05/2023
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