Individual
DR. CANDACE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6431 TRANQUILO, APT 2023, IRVING, TX 75039-3151
(409) 651-6947
Mailing address
6431 TRANQUILO, APT 2023, IRVING, TX 75039-3151
(409) 651-6947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
47064
TX
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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