Individual
BERNELL ANTOINETTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 E SEYMOUR ST, PHILADELPHIA, PA 19144-5901
(215) 594-6846
Mailing address
51 E SEYMOUR ST, PHILADELPHIA, PA 19144-5901
(215) 594-6846
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN322008
PA
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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