Individual
JANICE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602A MILDRED LEE AVE, MARSHALL, TX 75670-5465
(337) 356-1718
Mailing address
602A MILDRED LEE AVE, MARSHALL, TX 75670-5465
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
300989
TX
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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