Individual
CARLA GENE SUSON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
19803 ELLIS HENRY CT, SANTA CLARITA, CA 91321-2185
(818) 554-8348
Mailing address
19803 ELLIS HENRY CT, SANTA CLARITA, CA 91321-2185
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038177
CA
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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