Individual
MERCEDES LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8045 NORTHLAWN ST, DETROIT, MI 48204-3229
(313) 721-3553
Mailing address
8045 NORTHLAWN ST, DETROIT, MI 48204-3229
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230014701360909
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/26/2013
Last updated
12/26/2013
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