Individual
MACEO JAMAL LOZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5375 RENO CORPORATE DR, RENO, NV 89511-2381
(775) 376-9426
(775) 376-5888
Mailing address
5375 RENO CORPORATE DR, RENO, NV 89511-2381
(775) 376-9426
(775) 376-5888
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NV
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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