Individual
ANGELICA MILAGROS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22851 SCOTIA LN, MORENO VALLEY, CA 92557-6907
(951) 567-9392
Mailing address
PO BOX 9772, MORENO VALLEY, CA 92552-1772
(951) 567-9392
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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