Individual
KRISTA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 ANDREA DR, SUITE 4 BUILDING E, FARMINGTON, NM 87401-6726
(505) 324-5829
(505) 324-5896
Mailing address
851 ANDREA DR, SUITE 4 BUILDING E, FARMINGTON, NM 87401-6726
(505) 324-5829
(505) 324-5896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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