Individual
ARLENE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006-2103
(719) 404-1356
Mailing address
PO BOX 9062, PUEBLO, CO 81008-0062
(719) 320-8139
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1032
CO
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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