Individual
TIFFANY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 APPLETON, REDFORD, MI 48239-1235
(313) 948-5067
Mailing address
9001 APPLETON, REDFORD, MI 48239-1235
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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