Individual
MARINA SAUCEDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
1436 GOODRICH BLVD, COMMERCE, CA 90022-5111
(323) 725-1337
Mailing address
1436 GOODRICH BLVD, COMMERCE, CA 90022-5111
(323) 725-1337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
837157
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95002737
CA
Other
Enumeration date
08/15/2013
Last updated
01/06/2022
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