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1720022882
TINA EILEEN LEWIS
BEVERLY HILLS, CA
NPI
1720022882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA19614)
Enumeration Date
2006-06-16
Last Update Date
2022-02-02
Business Address
TINA EILEEN LEWIS MMSc , PA-C
9663 SANTA MONICA BLVD STE 769
BEVERLY HILLS, CA 90210-4303
Phone number: 310-596-0038
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Mailing Address
TINA EILEEN LEWIS MMSc , PA-C
9663 SANTA MONICA BLVD STE 769
BEVERLY HILLS, CA 90210-4303
Phone number: 310-596-0038
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