Individual
MRS. STACY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBRE
Contact information
Practice address
7254 GABRIEL DR, FONTANA, CA 92336-5761
(909) 510-9867
(909) 823-0640
Mailing address
7254 GABRIEL DR, FONTANA, CA 92336-5761
(909) 510-9867
(909) 823-0640
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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