Takiyah S Lewis
Licensed Vocational Nurse in Los Angeles, CA. Individual provider (NPI-1).
NPI number1760828362
StatusActive
Last updated in NPPESMay 22, 2013
Details
- NPI
- 1760828362
- Entity type
- Individual (NPI-1)
- Name
- Takiyah S Lewis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2013
- Last updated
- May 22, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | VN198074 | CA | Yes |
Practice location
526 S San Pedro StLos Angeles, CA 90013-2102
Phone 213-488-9559
Mailing address
526 S San Pedro StLos Angeles, CA 90013-2102
Phone 213-488-9559
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