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Individual

MELANIE LOZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
122 CENTRAL AVE, WAILUKU, HI 96793-1705
(808) 214-6160
Mailing address
PO BOX 1270, WAILUKU, HI 96793-6270
(808) 214-6160

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1800
HI
174400000X
Specialist
1800
PA
174400000X
Specialist
1800
TX
174400000X
Specialist
F-ML2137061
TX

Other

Enumeration date
02/11/2016
Last updated
02/11/2016
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