Individual
CHRISTINA FAYE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(304) 872-6503
Mailing address
21884 SENECA TRL N, FRANKFORD, WV 24938-9600
(304) 872-6503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34234
WV
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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