Individual
BRANDY JEANEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27174 BARK LN, MORENO VALLEY, CA 92555-4749
(951) 312-3898
Mailing address
27174 BARK LN, MORENO VALLEY, CA 92555-4749
(951) 312-3898
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1772
CA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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