Individual
BIANCA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18126 BRINKER ST, DETROIT, MI 48234-1500
(313) 953-9409
Mailing address
18126 BRINKER ST, DETROIT, MI 48234-1500
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
MI
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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