Individual
RISSAH SHARON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7624 LONECREST LN, CONVERSE, TX 78109-3245
(240) 464-6064
Mailing address
7624 LONECREST LN, CONVERSE, TX 78109-3245
(240) 464-6064
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1154873
TX
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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