Individual
ABIGAIL LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 E 44TH ST, ODESSA, TX 79762-6863
(432) 438-2040
Mailing address
415 E 44TH ST, ODESSA, TX 79762-6863
(432) 438-2040
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
43820704
TX
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/11/2022
Last updated
02/10/2022
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