Individual
KATHLEEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
298 GLORIETTA BLVD, ORINDA, CA 94563-3253
(415) 845-9245
Mailing address
298 GLORIETTA BLVD, ORINDA, CA 94563-3253
(415) 845-9245
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
133NN1002X
Nutrition Education Nutritionist
Primary
—
CA
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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