Individual
PATRICIA JEAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2186 DAVID WAY, APT. C, FORTUNA, CA 95540-2547
(707) 682-6303
Mailing address
PO BOX 2323, WEAVERVILLE, CA 96093-2323
(707) 841-7442
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
377680
CA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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