Individual
THELMA LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1386 E MOSSMAN RD, TUCSON, AZ 85706-5625
(520) 310-1347
Mailing address
1386 E MOSSMAN RD, TUCSON, AZ 85706-5625
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
3986
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3986
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
12/06/2019
Last updated
12/06/2019
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