Individual
SHARON MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1600 LENA ST STE C6, SANTA FE, NM 87505-4338
(505) 216-6247
Mailing address
1600 LENA ST STE C6, SANTA FE, NM 87505-4338
(505) 216-6247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7763
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7763
MN MASSAGE THERAPY LIC #
NM
Enumeration date
02/17/2016
Last updated
07/17/2019
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