Individual
CHRISTINA YVONNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
1502 WILLIAMSBURG RD, RICHMOND, VA 23231-1539
(804) 909-8947
Mailing address
3908 CHAMBERLAYNE AVE APT 1, RICHMOND, VA 23227-4217
(540) 806-1000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0735001139
VA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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