Individual
MS. ANICA JOVON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
(323) 319-1998
Mailing address
728 E 116TH PL, LOS ANGELES, CA 90059-2300
(323) 777-2970
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
03/14/2007
Last updated
07/09/2007
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