Individual
CARRIE L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
13102 HOYNE AVE APT 2, BLUE ISLAND, IL 60406-4857
(601) 641-1845
Mailing address
13102 HOYNE AVE APT 2, BLUE ISLAND, IL 60406-4857
(601) 641-1845
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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