SHANDA LEWIS

GARDENA, CA
NPI1285385740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95019042)
Enumeration Date2022-01-15
Last Update Date2022-01-15
Business Address
SHANDA LEWIS
2020 W 154TH ST
GARDENA, CA 90249-4223
Phone number: 310-433-7215
Mailing Address
SHANDA LEWIS
2020 W 154TH ST
GARDENA, CA 90249-4223
Phone number: 310-433-7215