Individual
JAELYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 E 9 MILE RD, FERNDALE, MI 48220-1934
(248) 336-4000
(248) 581-8839
Mailing address
18000 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4020
(248) 336-4000
(248) 581-8839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704363465
MI
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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