Individual
LUCERO DE LA VINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 N FEDERAL HWY, SUITE 2 SOUTH, POMPANO BEACH, FL 33064-6519
(888) 880-9270
(954) 342-0273
Mailing address
2206 COPPER HILL DR, SAN ANTONIO, TX 78232-1648
(956) 744-7070
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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