Individual
ZSANAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 SUMMER AVE, NEWARK, NJ 07104-1903
(678) 997-0293
Mailing address
PO BOX 9751, NEWARK, NJ 07104-0751
(678) 997-0293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/18/2019
Last updated
01/18/2024
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