Individual
VANESSA MONIQUE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0456
Mailing address
14 VIA BELLA, SANTA FE, NM 87507-8048
(505) 929-3126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007181
NM
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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