Individual
TAMICA YOLANDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 E PATRICK LN STE 12, LAS VEGAS, NV 89120-3480
(702) 483-5919
(702) 483-5546
Mailing address
3095 E PATRICK LN STE 12, LAS VEGAS, NV 89120-3480
(702) 483-5919
(702) 483-5546
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170004672
—
NV
Enumeration date
06/28/2013
Last updated
06/28/2013
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