Individual
RODOLFO TAPIA LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
784 W HOLLAND AVE, CLOVIS, CA 93612-4800
(559) 538-1230
Mailing address
784 W HOLLAND AVE, CLOVIS, CA 93612-4800
(559) 538-1230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-AYQLMR
CA
Other
Enumeration date
12/18/2023
Last updated
08/02/2024
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