Individual
HEATHER A. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1329
(909) 579-8149
Mailing address
934 N MOUNTAIN AVE, #C, UPLAND, CA 91786-3659
(909) 458-1329
(909) 579-8149
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
29519
CA
Other
Enumeration date
01/31/2007
Last updated
03/09/2015
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