Provider Demographics
NPI:1265626121
Name:CHRISTIE-OWENS, VALERIE J (LMT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:CHRISTIE-OWENS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24552 NW 160TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-6886
Mailing Address - Country:US
Mailing Address - Phone:352-339-0205
Mailing Address - Fax:
Practice Address - Street 1:5200 W NEWBERRY RD
Practice Address - Street 2:SUITE E-3
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6104
Practice Address - Country:US
Practice Address - Phone:352-339-0205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA37006175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath