Individual
KANISSA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 FONDREN RD APT C235, HOUSTON, TX 77074-6959
(713) 679-4542
(713) 774-6416
Mailing address
9000 FONDREN RD APT C235, HOUSTON, TX 77074-6959
(713) 679-4542
(713) 774-6416
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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