Individual
JESSICA LOZANO TEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16941 BACKWATER LN, FONTANA, CA 92336-2197
(909) 670-5342
Mailing address
16941 BACKWATER LN, FONTANA, CA 92336-2197
(909) 670-5342
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95059478
CA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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