Individual
TANYA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 AVIATION WAY UNIT B, REDONDO BEACH, CA 90278-2311
(602) 670-2144
Mailing address
2206 AVIATION WAY UNIT B, REDONDO BEACH, CA 90278-2311
(602) 670-2144
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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