JACKIE LEWIS

CORVALLIS, OR
NPI1194178988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201406819LPN)
Enumeration Date2016-07-18
Last Update Date2016-07-18
Business Address
-- JACKIE LEWIS
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
Mailing Address
-- JACKIE LEWIS
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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