Individual
LEWIS J JUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 PUTTER ST # DE, TOWNSEND, DE 19734-2851
(267) 974-5703
Mailing address
322 PUTTER ST, TOWNSEND, DE 19734-2851
(267) 974-5703
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
2023896435
DE
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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