Individual
TAMIKA RAINELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20424 SHORES ST, SAINT CLAIR SHORES, MI 48080-3169
(313) 938-9797
Mailing address
20424 SHORES ST, SAINT CLAIR SHORES, MI 48080-3169
(313) 938-9797
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122785
MI
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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