Individual
MS. SHAVONE JASMINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
44405 WOODWARD AVE FL 8, PONTIAC, MI 48341-5023
(248) 452-5202
Mailing address
22131 AVON RD, OAK PARK, MI 48237-2573
(313) 207-8088
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4401005393
MI
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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