Individual
GERALDINE LUCERO TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 372-4511
Mailing address
807 CALLE CHAMISAL, ESPANOLA, NM 87532-2976
(505) 372-4511
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1408
NM
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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