Individual
MARCIA ALTHEA LEWARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10241 REGENCY PARK BLVD, PORT RICHEY, FL 34668-3776
(727) 389-3042
Mailing address
10241 REGENCY PARK BLVD, PORT RICHEY, FL 34668-3776
(727) 389-3042
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
0097758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097758
—
FL
Enumeration date
12/30/2018
Last updated
12/30/2018
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