Individual
SHANICKA LEWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 WOOD STREET, JACKSONVILLE, FL 32209
(917) 834-6207
Mailing address
16408 119TH AVE, JAMAICA, NY 11434-5701
(917) 834-6204
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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