Individual
DOMINIQUE L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3971 WILDWIND CV, MEMPHIS, TN 38115-6501
(901) 265-1147
Mailing address
3930 VANTECH DR STE 12, MEMPHIS, TN 38115-5950
(901) 265-1147
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
05/10/2023
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