Individual
JEAN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
01 I-25 INTERCHANGE, BELEN, NM 87002
(505) 864-0270
(505) 861-2482
Mailing address
6 BRONCO CT, PERALTA, NM 87042-8508
(505) 866-6392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP6677
NM
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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