IVY LEWIS LEWIS

CHUBBUCK, ID
NPI1972310035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  14873)
Enumeration Date2024-12-12
Last Update Date2024-12-12
Business Address
IVY LEWIS LEWIS LPN
4414 DEER AVE
CHUBBUCK, ID 83202-2668
Phone number: 208-317-3364
Mailing Address
IVY LEWIS LEWIS LPN
2293 JACQUELINE LN
POCATELLO, ID 83201-1867
Phone number: 208-317-3364
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