DETRINA LEWIS

LONG BEACH, CA
NPI1962752972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2012-09-17
Last Update Date2015-05-27
Business Address
-- DETRINA LEWIS
900 E WARDLOW RD
LONG BEACH, CA 90807-4630
Phone number: 562-595-4525
Mailing Address
-- DETRINA LEWIS
900 E WARDLOW RD
LONG BEACH, CA 90807-4630
Phone number: 562-595-4525
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