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Individual

MISS KENDRA MAE LEWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
1016 W CYPRESS ST, COVINA, CA 91722-3145
(626) 974-6120
Mailing address
27723 HEARTWOOD CT, VALENCIA, CA 91354-1474
(661) 644-6172

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000035996
CA
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
03/01/2018
Last updated
06/19/2019
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