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Organization
WYOCARE LLC
Active
Organization
WYOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LUCERO FNP-C (OWNER / PROVIDER)
(970) 232-6957
Entity
Organization
Contact information
Practice address
22269 W MOONLIGHT PATH, BUCKEYE, AZ 85326-8591
(970) 232-6957
Mailing address
22269 W MOONLIGHT PATH, BUCKEYE, AZ 85326-8591
(970) 232-6957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586036
—
AZ
Enumeration date
07/02/2020
Last updated
07/02/2020
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