Individual
JAMES DESHAWN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 ILENE ST, MARTINEZ, CA 94553-2631
(925) 313-7080
Mailing address
1528 HAWAII ST, FAIRFIELD, CA 94533-4638
(808) 278-0846
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
716719
CA
Other
Enumeration date
10/18/2024
Last updated
08/05/2025
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