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Individual

ANNIKA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1411 SECRET RAVINE PKWY STE 180, ROSEVILLE, CA 95661-6043
(916) 774-0484
Mailing address
1411 SECRET RAVINE PKWY STE 180, ROSEVILLE, CA 95661-6043
(916) 774-0484

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017766
CA

Other

Enumeration date
11/16/2021
Last updated
11/16/2021
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