Individual
DASIA MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3488 VINE ST APT 1, CINCINNATI, OH 45220-1333
(859) 312-7604
Mailing address
3488 VINE ST APT 1, CINCINNATI, OH 45220-1333
(859) 312-7604
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
VJ679121
OH
347C00000X
Private Vehicle
VJ679121
OH
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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