Individual
DANICA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 W CHARLESTON BLVD, #70, LAS VEGAS, NV 89102-1941
(205) 492-2091
Mailing address
6232 STANDING ELM ST, NORTH LAS VEGAS, NV 89081-6758
(205) 492-2091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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