Individual
JACQUELINE ROSE LEWY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 778-7777
Mailing address
212 HEDGEROSE LN, HOPKINTON, NH 03229-2030
(603) 856-1912
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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