Individual
AMANDA RAE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 RODGERS CT., LOS LUNAS, NM 87031
(505) 550-2982
Mailing address
6 RODGERS CT, LOS LUNAS, NM 87031-6253
(505) 550-2982
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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