Individual
AMANDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 CEDAR ST, NEW HAVEN, CT 06519-1610
(203) 503-3300
Mailing address
235 BLUEBERRY LN, BRANFORD, CT 06405-5903
(203) 907-6646
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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