Individual
MS. CHANTELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13809 FELIX WILL RD, RIVERVIEW, FL 33579-2431
(813) 820-8328
Mailing address
13809 FELIX WILL RD, RIVERVIEW, FL 33579-2431
(813) 820-8328
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
239788
FL
Other
Enumeration date
09/08/2022
Last updated
01/25/2024
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