Individual
MILDRED LOZADA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1005 BELLEVUE AVE, SOUTH BEND, IN 46615-1412
(574) 286-9094
Mailing address
1005 BELLEVUE AVE, SOUTH BEND, IN 46615-1412
(574) 286-9094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28174146A
IN
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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