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Individual

MRS. MARCEIA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9372 PINEHURST ST, DETROIT, MI 48204-2658
(734) 674-2128
Mailing address
31749 HAZELWOOD ST, WESTLAND, MI 48186-8933
(313) 704-4207

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704319794
MI

Other

Enumeration date
06/22/2023
Last updated
07/06/2023
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