MRS. Johnnie Mae Owens, CNA CHILD CARE CREDE

NPI #1740448802 in Clinton, Mississippi

Provider Information

NPI Number: 1740448802
Entity Type: Individual
Name: MRS. Johnnie Mae Owens, CNA CHILD CARE CREDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotic Fitter
Credential: CNA CHILD CARE CREDE
Enumeration Date: May 27, 2008
Last Updated: Jul 21, 2011

Practice Location

Address: 801 E NORTHSIDE DR
Address 2: SUITE D
City: Clinton
State: Mississippi
ZIP Code: 39056-3663
Phone: (601) 906-1024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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