Individual
ANTANIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15714 WALDEN AVE, CLEVELAND, OH 44128-1249
(216) 612-2648
Mailing address
15714 WALDEN AVE, CLEVELAND, OH 44128-1249
(216) 612-2648
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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