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Individual

RUTH LOZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1101 GREINER DR, CHAPARRAL, NM 88081-7567
(915) 208-1815
Mailing address
1101 GREINER DR, CHAPARRAL, NM 88081-7567
(915) 208-1815

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
502619047
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03-178808-00-4
NM
Enumeration date
02/16/2010
Last updated
02/16/2010
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