Individual
ZANNETTA FERGUSON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HOPE RD STE 215, STAFFORD, VA 22554-7287
(866) 311-4617
Mailing address
11 HOPE RD STE 215, STAFFORD, VA 22554-7287
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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