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Individual

THOMAS LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
730 RANDOLPH AVE, CAPE CHARLES, VA 23310-3308
(203) 605-5167
Mailing address
730 RANDOLPH AVE, CAPE CHARLES, VA 23310-3308
(203) 605-5167

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019002896
VA

Other

Enumeration date
12/26/2013
Last updated
12/26/2013
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