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Individual

ALEJANDRA B GRANADOS-LOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 523-4573
Mailing address
1048 W FULKERTH RD, CROWS LANDING, CA 95313-9609

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/29/2021
Last updated
08/18/2023
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