Most Relevant Information
Provider Data
| NPI Number: | 1003373879 |
| Provider Name: | CRYSTAL MONIQUE LOZA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/27/2019 |
| Last Updated: | 02/27/2019 |
Provider Practice Location
20 N DEWITT AVE
CLOVIS
CA
936120311
Practice Location Phone/Fax
| Phone: | 5595758172 |
| Fax: |
Provider Mailing Location
20 N DEWITT AVE
CLOVIS
CA
936120311
Provider Mailing Phone/Fax
| Phone: | 5595758172 |
| Fax: |