Individual
JEREMY MARCELL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
66555 4TH ST APT 24, DESERT HOT SPRINGS, CA 92240-3234
(214) 482-5407
(214) 482-5407
Mailing address
66555 4TH ST APT 24, DESERT HOT SPRINGS, CA 92240-3234
(214) 482-5407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
63084
CA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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