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Angelica Milagros Lewis

Student in an Organized Health Care Education/Training Program in Moreno Valley, CA. Individual provider (NPI-1).

NPI number1669959334
StatusActive
Last updated in NPPESJul 25, 2018

Details

NPI
1669959334
Entity type
Individual (NPI-1)
Name
Angelica Milagros Lewis
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2018
Last updated
Jul 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

22851 Scotia Ln
Moreno Valley, CA 92557-6907

Phone 951-567-9392

Mailing address

Po Box 9772
Moreno Valley, CA 92552-1772

Phone 951-567-9392

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