Individual
BETTIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 ALTON, PONTIAC, MI 48341
(313) 467-6603
Mailing address
31626 SCHOENHERR ROAD, K16, WARREN, MI 48088
(313) 467-6603
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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