Individual
MR. GUSTAVO LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 N 1ST ST STE 444, SAN JOSE, CA 95112-6339
(408) 240-0070
Mailing address
777 N 1ST ST STE 444, SAN JOSE, CA 95112-6339
(408) 240-0070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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