Individual
JEREMIAH N LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6881 BREELAND DR, HUNTINGTON BEACH, CA 92647-3109
(714) 381-8419
Mailing address
6881 BREELAND DR, HUNTINGTON BEACH, CA 92647-3109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
F8023095
CA
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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