Nicholas Revan Owens

NPI #1265119739 in Siloam Springs, Arkansas

Provider Information

NPI Number
1265119739
Entity Type
Individual
Name
Nicholas Revan Owens
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jun 28, 2023
Last Updated
Dec 23, 2024

Practice Location

Address
710 S HOLLY ST
ZIP Code
72761-3304
Phone
(479) 524-8618

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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