Individual
ROSHAUD L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMP
Contact information
Practice address
8969 WOODYARD RD, CLINTON, MD 20735-4203
(301) 868-1961
Mailing address
9902 FOX RUN DR, CLINTON, MD 20735-3071
(240) 244-6005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04861
MD
Other
Enumeration date
09/24/2013
Last updated
05/19/2016
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