Individual
MARLENA DELICE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21530 DEQUINDRE RD APT 204, WARREN, MI 48091-2260
(313) 686-4226
Mailing address
21530 DEQUINDRE RD APT 204, WARREN, MI 48091-2260
(313) 686-4226
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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