NICHOLAS LEWIS

KODIAK, AK
NPI1841648854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  15-1365-I)
Enumeration Date2016-05-31
Last Update Date2016-05-31
Business Address
-- NICHOLAS LEWIS
3449 E REZANOF DR
KODIAK, AK 99615-6952
Phone number: 907-486-9800
Mailing Address
-- NICHOLAS LEWIS
3449 E REZANOF DR
KODIAK, AK 99615-6952
Phone number: 907-486-9800
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