Individual
JESSICA TINA LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 MADISON AVE STE 447, MEMPHIS, TN 38103-3438
(901) 448-5814
Mailing address
5201 BANANA POINT DR, OKAHUMPKA, FL 34762-3332
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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