VIOLET STAR LEWIS

KINSMAN, IL
NPI1013463611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- VIOLET STAR LEWIS
5025 S JOHNNY RUN RD
KINSMAN, IL 60437-4022
Phone number: 815-999-1855
Mailing Address
-- VIOLET STAR LEWIS
5025 S. JOHNNY RUN RD.
KINSMAN, IL 60437
Phone number: 815-999-1855