Individual
MRS. ANGELA MARIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 11572 17TH & C ST, JBLM, WA 98433
(253) 967-4989
Mailing address
MADIGAN ANNEX 9900, TACOMA, WA 98431-0001
(253) 967-4989
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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