Individual
JAYLENE MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NREMT
Contact information
Practice address
140 MOUNT TOBE RD, PLYMOUTH, CT 06782-2803
(860) 417-0624
Mailing address
140 MOUNT TOBE RD, PLYMOUTH, CT 06782-2803
(860) 417-0624
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
09/11/2025
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