Individual
MRS. SHACHRISTA LE'SHAUN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA,CHHA
Contact information
Practice address
3212 PARKER DR, OKLAHOMA CITY, OK 73135-1436
(405) 326-1332
Mailing address
3212 PARKER DR, OKLAHOMA CITY, OK 73135-1436
(405) 326-1332
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
3707936108020
OK
172V00000X
Community Health Worker
Primary
37V479361005
OK
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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