Individual
JONIQUA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 ASHWICK LOOP, SACRAMENTO, CA 95823-6817
(916) 730-5538
Mailing address
430 ASHWICK LOOP, SACRAMENTO, CA 95823-6817
(916) 730-5538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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