Individual
NKEITIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 MYLES STANDISH BLVD, TAUNTON, MA 02780-7387
(508) 824-1355
Mailing address
42 CLARK AVE, PAWTUCKET, RI 02860-1191
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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