Individual
TAMIA RUBY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 E 13 MILE RD, WARREN, MI 48093-3093
(586) 573-1810
Mailing address
24334 FLOWER AVE, EASTPOINTE, MI 48021-1061
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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