ENZO JORDAN LEWIS

HURRICANE, WV
NPI1720858426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-01-03
Last Update Date2024-01-03
Business Address
ENZO JORDAN LEWIS
1124 HICKORY MILLS RD
HURRICANE, WV 25526-9056
Phone number: 304-881-1054
Mailing Address
ENZO JORDAN LEWIS
1124 HICKORY MILLS RD
HURRICANE, WV 25526-9056
Phone number: 304-881-1054
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