Individual
KASSANDRA LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4118 CENTRAL AVE SE, ALBUQUERQUE, NM 87108-1177
(505) 554-3057
Mailing address
PO BOX 35014, ALBUQUERQUE, NM 87176-5014
(505) 554-3057
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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