Individual
MRS. JACKELINE LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSE
Contact information
Practice address
9777 QUEENS BLVD, PENT HOUSE, REGO PARK, NY 11374-3335
(718) 830-9274
Mailing address
8920 55TH AVE, APT 6C, ELMHURST, NY 11373-4553
(917) 544-9716
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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