MS. Jacquetta Lewis

NPI #1962134874 in Gary, Indiana

Provider Information

NPI Number
1962134874
Entity Type
Individual
Name
MS. Jacquetta Lewis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Jun 29, 2022
Last Updated
Jun 29, 2022

Practice Location

Address
413 OLD DUNELAND PKWY
City
Gary
State
Indiana
ZIP Code
46403-2398
Phone
(312) 682-4213

Specialties & Taxonomy Codes

Specialty
Home Health

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