Individual
MAHOGANI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4699 OLD IRONSIDES DR STE 230, SANTA CLARA, CA 95054-1858
(408) 863-1705
Mailing address
20124 24TH AVENUE CT E, SPANAWAY, WA 98387-6983
(318) 507-5410
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC61483080
WA
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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