Healthcare Provider Details

I. General information

NPI: 1417612946
Provider Name (Legal Business Name): JAMILA OWENS-TODD NATUROPATHIC DOCTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAMILA OWENS NATUROPATHIC DOCTOR

II. Dates (important events)

Enumeration Date: 10/31/2021
Last Update Date: 10/31/2021
Certification Date: 10/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3426 1/2 INDIANA AVE
SAINT LOUIS MO
63118-3233
US

IV. Provider business mailing address

3426 1/2 INDIANA AVE
SAINT LOUIS MO
63118-3233
US

V. Phone/Fax

Practice location:
  • Phone: 314-320-0237
  • Fax:
Mailing address:
  • Phone: 314-320-0237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: