Individual
GLENDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12813 RUNNING PEBBLE RD, PIEDMONT, OK 73078-7505
(970) 980-6503
Mailing address
12813 RUNNING PEBBLE RD, PIEDMONT, OK 73078-7505
(970) 980-6503
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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