Individual
STEFANIE DAJA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 HILLSIDE PL SE, CONYERS, GA 30094-2573
(904) 228-7993
Mailing address
1440 HILLSIDE PL SE, CONYERS, GA 30094-2573
(904) 228-7993
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014625
GA
Other
Enumeration date
07/11/2023
Last updated
09/02/2025
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