Individual
MS. GINNEH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14200 RUNNYMEDE ST, VAN NUYS, CA 91405-1435
(818) 389-1184
Mailing address
14200 RUNNYMEDE ST, VAN NUYS, CA 91405-1435
(818) 389-1184
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
6193F14E2F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171400000X
—
CA
Enumeration date
03/04/2025
Last updated
03/04/2025
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