NPI 1609387141

Angela Maria Lewis

Practitioner Dental Assistant Jblm, WA

Practice location

Address: Bldg 11572 17th & C St, Jblm, WA 98433
Phone: (253) 967-4989
Mailing address: Madigan Annex 9900, Tacoma, WA 98431-0001

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1609387141
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2017
Record last updated: 23 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.