Jade Heather Lewis

NPI #1053035618 in Frostburg, Maryland

Provider Information

NPI Number: 1053035618
Entity Type: Individual
Name: Jade Heather Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 28, 2022
Last Updated: Sep 28, 2022

Practice Location

Address: 101 BRADDOCK RD
City: Frostburg
State: Maryland
ZIP Code: 21532-2303
Phone: (240) 522-5231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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