Individual
JANELL BERNICE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24505 LAKE DR, PETERSBURG, VA 23803-9416
(804) 862-8011
Mailing address
20 W BANKS, DISTRICT 19 COMMUNITY SERVICES BOARD, PETERSBURG, VA 23803
(804) 862-8011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001124122
VA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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