Individual
CLINTON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 CLUBHOUSE LN APT C, FAIRFIELD, OH 45014-8272
(513) 254-6193
Mailing address
62 CLUBHOUSE LN APT C, FAIRFIELD, OH 45014-8272
(513) 254-6193
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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