Individual
MRS. BONNIE L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
8624 CONCORD ST, JOINT BASE LEWIS MCCHORD, WA 98433-1337
(210) 563-6064
Mailing address
8624 CONCORD ST, JOINT BASE LEWIS MCCHORD, WA 98433-1337
(210) 563-6064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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