JACQUETTA LEWIS

GARY, IN
NPI1962134874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: IN  202206151600328)
Enumeration Date2022-06-29
Last Update Date2022-06-29
Business Address
Ms. JACQUETTA LEWIS
413 OLD DUNELAND PKWY
GARY, IN 46403-2398
Phone number: 312-682-4213
Mailing Address
Ms. JACQUETTA LEWIS
413 OLD DUNELAND PKWY
GARY, IN 46403-2398
Phone number: 312-682-4213
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