Individual
MRS. NICOLE CHAVEZ LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1350 HILLRISE CIR, LAS CRUCES, NM 88011-4759
(575) 522-9500
Mailing address
4688 RIMROCK DR, LAS CRUCES, NM 88012-5061
(575) 621-0545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3684
NM
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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