LACONYA OWENS

PORT SAINT LUCIE, FL
NPI1194948000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5167740)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- LACONYA OWENS
2541 SW KENILWORTH ST
PORT SAINT LUCIE, FL 34953-2575
Phone number: 772-340-4220
Mailing Address
-- LACONYA OWENS
2541 SW KENILWORTH ST
PORT SAINT LUCIE, FL 34953-2575
Phone number: