Individual
MRS. ANNMARIE LEWIS-HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 WYN DR, NEWPORT NEWS, VA 23608-8607
(757) 888-0240
Mailing address
497 WYN DR, NEWPORT NEWS, VA 23608-8607
(757) 888-0240
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T61774262
VA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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