Individual
MS. LATOYA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4705 N SONORA AVE STE 113, FRESNO, CA 93722-3965
(559) 276-7558
Mailing address
4705 N SONORA AVE STE 113, FRESNO, CA 93722-3965
(559) 276-7558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20-8505037
CA
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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