Individual
DELOSMILAGROS PLAZA DE LOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
401 S AIRPORT WAY, MANTECA, CA 95337-8426
(209) 456-5801
(209) 320-3529
Mailing address
401 S AIRPORT WAY, MANTECA, CA 95337-8426
(209) 456-5801
(209) 320-3529
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
700744
CA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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