Individual
ANNETTE LEWELLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBMF
Contact information
Practice address
2500 MOWRY AVE # 130, FREMONT, CA 94538-1605
(510) 790-1911
(510) 505-9160
Mailing address
2500 MOWRY AVE # 130, FREMONT, CA 94538-1605
(510) 790-1911
(510) 505-9160
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C51810
CA
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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