Provider Demographics
NPI:1518534544
Name:HAMMOND-OWENS, SHI'NARA
Entity Type:Individual
Prefix:MS
First Name:SHI'NARA
Middle Name:
Last Name:HAMMOND-OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19118 TULIP DALE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-4216
Mailing Address - Country:US
Mailing Address - Phone:206-290-9293
Mailing Address - Fax:
Practice Address - Street 1:19118 TULIP DALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-4216
Practice Address - Country:US
Practice Address - Phone:206-290-9293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management