Most Relevant Information
Provider Data
| NPI Number: | 1003665985 |
| Provider Name: | JEANA LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/14/2024 |
| Last Updated: | 05/14/2024 |
Provider Practice Location
1910 VALLEY RD UNIT 502
RENO
NV
895121535
Practice Location Phone/Fax
| Phone: | 7752321954 |
| Fax: |
Provider Mailing Location
1910 VALLEY RD UNIT 502
RENO
NV
895121535
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |