Individual
SHANNA NICOLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 DOBY ST, CAMDEN, SC 29020-2312
(803) 465-3859
Mailing address
214 DOBY ST, CAMDEN, SC 29020-2312
(803) 465-3859
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
SC
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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