Individual
KIMBERLY JIMMIQUE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5739 CHESLEY AVE, LOS ANGELES, CA 90043-2423
(562) 658-6034
Mailing address
5739 CHESLEY AVE, LOS ANGELES, CA 90043-2423
(562) 658-6034
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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