Individual
MRS. TIERA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 RIVELY AVE, GLENOLDEN, PA 19036-1119
(445) 800-5005
(610) 534-1080
Mailing address
708 RIVELY AVE, GLENOLDEN, PA 19036-1119
(445) 800-5005
(610) 534-1080
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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