Individual
GLORIA JEANNE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
(505) 224-9779
Mailing address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
(505) 224-9779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0156981
NM
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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