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NPI Code Detail

MEDICARE: ADRIAN HONORIO OWYONG

MEDICARE: ADRIAN HONORIO OWYONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1912384579
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN HONORIO OWYONG
Provider Business Mailing Address
First Line : 2801 S VALLEY VIEW BLVD STE 6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0166
Country : US
Telephone Number : 702-922-7015
Fax Number : 702-922-6600
Provider Business Practice Location Address
First Line : 2801 S VALLEY VIEW BLVD STE 6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0166
Country : US
Telephone Number : 702-922-7015
Fax Number : 702-922-6600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 09/24/2015

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Directions to “ ADRIAN HONORIO OWYONG ” Practice Location

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