DESIRAE LEWIS

PRINCETON, WV
NPI1649004797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2024-08-30
Last Update Date2024-08-30
Business Address
DESIRAE LEWIS
712 MERCER ST STE D
PRINCETON, WV 24740-3114
Phone number: 304-431-2443
Mailing Address
DESIRAE LEWIS
3700 INGLESIDE RD
BLUEFIELD, WV 24701-5502
Phone number:
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