JERRY LEWIS

CLARKSVILLE, AR
NPI1194376178
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Additional Taxonomies101Y00000X Counselor
Enumeration Date2019-09-22
Last Update Date2019-11-05
Business Address
JERRY LEWIS
1606R W CHERRY ST
CLARKSVILLE, AR 72830-2506
Phone number: 479-979-4909
Mailing Address
JERRY LEWIS
1606R W CHERRY ST
CLARKSVILLE, AR 72830-2506
Phone number: 479-979-4909