Individual
MISS YARITZA KORAIMA LOZANO BARRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 16TH ST STE B, MODESTO, CA 95354-1119
(209) 558-4595
(209) 558-4595
Mailing address
920 16TH ST STE B, MODESTO, CA 95354-1119
(209) 552-2858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
126397
CA
Other
Enumeration date
09/16/2022
Last updated
10/07/2024
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