Individual
VANITA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5421 KNOLL CREEK DR APT J, HAZELWOOD, MO 63042-3711
(314) 201-9975
Mailing address
5421 KNOLL CREEK DR APT J, HAZELWOOD, MO 63042-3711
(314) 201-9975
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
251E00000X
MO
374U00000X
Home Health Aide
253Z00000X
MO
374U00000X
Home Health Aide
261QP2300X
MO
Other
Enumeration date
12/08/2023
Last updated
01/02/2024
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