Individual
JASU JULIUS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 AUTHORITY DR, FITCHBURG, MA 01420-6044
(978) 696-5115
Mailing address
24 SAINT JUDE BLVD, FITCHBURG, MA 01420-2762
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
430811
MA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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