Individual
HEATHER L LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
933 W EMERALD CIR, MESA, AZ 85210-3457
(480) 290-8537
Mailing address
933 W EMERALD CIR, MESA, AZ 85210-3457
(480) 290-8537
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225700000X
Massage Therapist
Primary
MT-28479
AZ
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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