Individual
MARICEL QUIMING LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 747-2193
Mailing address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 747-2193
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1108821
TX
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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