Individual
MS. JESSICA HT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 WILSON AVE, CLAYMONT, DE 19703-1871
(302) 593-5005
Mailing address
2506 WILSON AVE, CLAYMONT, DE 19703-1871
(302) 593-5005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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