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Organization

UPPER VALLEY MEDICAL CLINIC, PLLC

Active
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Organization

UPPER VALLEY MEDICAL CLINIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNA M LUCERO FNP-C (OWNER/PRESIDENT)
(915) 877-4217
Entity
Organization

Contact information

Practice address
950 ANTHONY ST, CANUTILLO, TX 79835-6052
(915) 877-4217
(915) 877-4231
Mailing address
7250 NINTH ST, CANUTILLO, TX 79835-6011
(915) 877-4217
(915) 877-4231

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
537539
TX

Other

Enumeration date
01/21/2010
Last updated
01/21/2010
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