Jennifer Lewis

NPI #1861864936 in Port Arthur, Texas

Provider Information

NPI Number: 1861864936
Entity Type: Organization
Organization Name: Jennifer Lewis
Primary Specialty: Contractor
Enumeration Date: Oct 28, 2015
Last Updated: Oct 28, 2015

Practice Location

Address: 2349 9TH AVE
Address 2: SUITE B
City: Port Arthur
State: Texas
ZIP Code: 77642-3834
Phone: (409) 982-5200

Authorized Official

Name: JENNIFER LEWIS
Title: OWNER
Phone: (409) 998-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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