LAURANCE LEWIS

SAN JACINTO, CA
NPI1679007538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2017-04-18
Last Update Date2021-01-13
Business Address
LAURANCE LEWIS
1370 S STATE ST STE B
SAN JACINTO, CA 92583-4922
Phone number: 951-791-3596
Mailing Address
LAURANCE LEWIS
1370 S STATE ST
SAN JACINTO, CA 92583-4933
Phone number:
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