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Individual

LUCY CERALDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CNOR , CRNFA

Contact information

Practice address
2910 WHETSTONE LN, EULESS, TX 76039-4114
(817) 366-2804
(817) 540-2503
Mailing address
2910 WHETSTONE LN, EULESS, TX 76039-4114
(817) 366-2804
(817) 540-2503

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
581823
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
89N951 GROUP # 66HT
BCBS
TX
05
CCP108328
TX
Enumeration date
01/09/2007
Last updated
07/08/2007
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