Individual
WONONA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10004 FARM POND RD, INDIAN TRAIL, NC 28079-5787
(704) 608-3656
Mailing address
10004 FARM POND RD, INDIAN TRAIL, NC 28079-5787
(704) 608-3656
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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