Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA37006 | FL |
NPI | 1265626121 |
---|---|
Provider Name | Valerie J Christie-Owens |
First Address | High Springs, FL 32643-6886 |
Second Address | Gainesville, FL 32607-6104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 04/09/2007 |