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Individual

JWAN DONTA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNA

Contact information

Practice address
3101 NE 15TH ST, APT J77, GAINESVILLE, FL 32609-2474
(352) 346-2178
Mailing address
3101 NE 15TH ST, APT J77, GAINESVILLE, FL 32609-2474
(352) 346-2178

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA301495
FL

Other

Enumeration date
07/23/2014
Last updated
07/23/2014
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