Individual
YAYOI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FCFP
Contact information
Practice address
1717 5TH AVE, SAN RAFAEL, CA 94901-1810
(415) 272-5529
Mailing address
1005 NORTHGATE DR # 187, SAN RAFAEL, CA 94903-2500
(415) 272-5529
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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