Individual
CHARNISE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 STEPHENS RD, AKRON, OH 44312-2145
(330) 957-5063
Mailing address
605 STEPHENS RD, AKRON, OH 44312-2145
(330) 957-5063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152442
OH
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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