Individual provider · Type 1 NPI

Gwendolyn Owens

Driver · Fort Wayne, IN

NPI number 1417375916 Active

Practice location

4821 Pocono Xing
Fort Wayne, IN 46808-3570

Call (260) 222-1620 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X172A00000X (IN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1417375916

Gwendolyn Owens's National Provider Identifier is 1417375916, issued on Apr 1, 2014. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 1, 2014.