Individual
MS. JENNIFER D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
23717 CRUISE CIRCLE DR, CANYON LAKE, CA 92587
(720) 532-3654
Mailing address
23717 CRUISE CIRCLE DR, CANYON LAKE, CA 92587-7731
(720) 532-3654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
4937
CO
225700000X
Massage Therapist
Primary
68075
CA
Other
Enumeration date
05/25/2010
Last updated
03/02/2017
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