Individual
MRS. TRYTHENA AVELINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2470 DELANEY RD, WILMINGTON, NC 28403-6062
(910) 762-1258
(910) 762-9378
Mailing address
1853 BRIERWOOD RD, WILMINGTON, NC 28405-8413
(910) 796-0465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128172
NC
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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