JACQUELINE LEWIS

HARRISBURG, IL
NPI1891416863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.013932)
Enumeration Date2022-09-08
Last Update Date2022-09-08
Business Address
JACQUELINE LEWIS PHDH
205 N MAIN ST
HARRISBURG, IL 62946-1256
Phone number: 618-253-8450
Mailing Address
JACQUELINE LEWIS PHDH
1250 CEDAR CT
CARBONDALE, IL 62901-5334
Phone number: 618-253-8450