Individual
MAYA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 PASEO MARGUERITA, VISTA, CA 92084-2577
(760) 805-8976
Mailing address
295 PASEO MARGUERITA, VISTA, CA 92084-2577
(760) 805-8976
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
214501
CA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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