Individual
KERRY ANN CODNER-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7957 JOHNSON STREET-A, PEMBROKE PINES, FL 33025
(954) 893-9499
Mailing address
7957 JOHNSON STREET-A, PEMBROKE PINES, FL 33025
(954) 893-9499
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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