Individual
JADEVYONNA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
18031 US HIGHWAY 18 STE B, APPLE VALLEY, CA 92307-2152
(760) 985-4377
(770) 818-8126
Mailing address
24978 KEATOR RD, APPLE VALLEY, CA 92307-2240
(760) 985-4377
(760) 818-8126
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
569
CA
Other
Enumeration date
05/06/2019
Last updated
06/11/2019
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