Individual
CECIL LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PASTOR
Contact information
Practice address
.5 MILES EAST OF HWY 371, .5 MILES EAST OF HWY 371, THOREAU, NM 87323-1289
(505) 905-0061
(505) 905-0064
Mailing address
PO BOX 1289, THOREAU, NM 87323-1289
(505) 905-0061
(505) 905-0064
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860092335
NAVAJO NATION
NM
Enumeration date
05/11/2011
Last updated
05/11/2011
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