Deondre Lewis, LMT | |
4028 S Howell Ave, Milwaukee, WI 53207-4408 | |
(414) 559-7992 | |
Not Available |
Full Name | Deondre Lewis |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 4028 S Howell Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780173740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 14492 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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Deondre Lewis, LMT 4028 S Howell Ave, Milwaukee, WI 53207-4408 Ph: (414) 559-7992 | Deondre Lewis, LMT 4028 S Howell Ave, Milwaukee, WI 53207-4408 Ph: (414) 559-7992 |
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