TANISHA LEWIS

SOUTH PRINCE GEORGE, VA
NPI1235991209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002103538)
Enumeration Date2024-01-25
Last Update Date2024-01-25
Business Address
Miss TANISHA LEWIS
10543 S CRATER RD
SOUTH PRINCE GEORGE, VA 23805-7333
Phone number: 800-805-6989
Mailing Address
Miss TANISHA LEWIS
111 MERCHANT MAN CT
WILLIAMSBURG, VA 23185-5369
Phone number: 309-922-0911
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