Individual
JONATHAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 TELETECH DR, MOUNDSVILLE, WV 26041-2790
(304) 843-3379
Mailing address
46 ROMNEY RD, WHEELING, WV 26003-5674
(130) 478-0701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
89810
WV
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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