Individual
RACHEL MARLENE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SOUTH ST, HARTFORD, CT 06110-1967
(860) 578-1300
Mailing address
540 EMMETT ST APT B11, BRISTOL, CT 06010-7720
(860) 680-9925
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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