Individual
BARBRA'ELLA KAISHAWN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 S SANDHILL RD STE 110, LAS VEGAS, NV 89121-5955
(702) 629-6877
Mailing address
4525 S SANDHILL RD STE 110, LAS VEGAS, NV 89121-5955
(702) 629-6877
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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