Individual
JUAN LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(619) 579-8373
Mailing address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(619) 798-3735
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
283655
CA
Other
Enumeration date
10/09/2014
Last updated
12/16/2022
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