Individual
MS. KIMBERLY A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5018 W FLYNN LN, GLENDALE, AZ 85301-3410
(623) 826-4633
Mailing address
5018 W FLYNN LN, GLENDALE, AZ 85301-3410
(623) 826-4633
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376K00000X
Nurse's Aide
Primary
CNA999952457
AZ
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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