Most Relevant Information
Provider Data
| NPI Number: | 1003263211 |
| Provider Name: | JACQUELYN OWENS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2016 |
| Last Updated: | 05/17/2016 |
Provider Practice Location
2275 ARLINGTON DR
SAN LEANDRO
CA
945781132
Practice Location Phone/Fax
| Phone: | 5103171444 |
| Fax: |
Provider Mailing Location
2275 ARLINGTON DR
SAN LEANDRO
CA
945781132
Provider Mailing Phone/Fax
| Phone: | 5103171444 |
| Fax: |