Individual
JAMILLA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(215) 927-1569
Mailing address
PO BOX 20615, PHILADELPHIA, PA 19138-0615
(215) 927-1569
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9954762
PA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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