Individual
MRS. LESHANDRA ROMEL WEST LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
326 MARYLAND DR, JACKSON, MS 39209-3343
(404) 719-0882
Mailing address
326 MARYLAND DR, JACKSON, MS 39209-3343
(404) 719-0882
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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