Individual
MRS. SARAH DIANE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
369806
CA
163W00000X
Registered Nurse
Primary
64868
HI
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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