Individual
JOYCE FA'ATIMA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3630 GEORGE WASHINGTON MEM HWY STE D, YORKTOWN, VA 23693-3350
(757) 690-9508
Mailing address
300 ADVOCATE CT UNIT F, NEWPORT NEWS, VA 23608-2815
(860) 961-9526
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
00015877
VA
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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