Individual
ERICKA LATOYA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6856 CAMELOT RD, JACKSONVILLE, FL 32211-4802
(904) 330-5678
Mailing address
6856 CAMELOT RD, JACKSONVILLE, FL 32211-4802
(904) 330-5678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251E00000X
—
FL
Enumeration date
06/29/2022
Last updated
06/29/2022
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