Individual
TAMEKIA F LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
644 BURNSIDE TER SE, LEESBURG, VA 20175-8936
(571) 919-8711
Mailing address
644 BURNSIDE TER SE, LEESBURG, VA 20175-8936
(571) 919-8711
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1185915
VA
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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