Individual
MS. BRENDA LOUISE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3988 HASSFURT DR, FAIRFIELD, OH 45011-8617
(513) 860-0014
Mailing address
3988 HASSFURT DR, FAIRFIELD, OH 45011-8617
(513) 860-0014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN134122
OH
Other
Enumeration date
06/12/2010
Last updated
06/12/2010
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