Individual
ANGELA MARDENA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 N CASHUA DR, FLORENCE, SC 29501-6939
(843) 673-9320
Mailing address
PO BOX 6034, FLORENCE, SC 29502-6034
(843) 731-2150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50232
SC
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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