Individual
LUCERO JAEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W 38TH ST FL 6, NEW YORK, NY 10018-9537
(212) 695-4564
(212) 695-4561
Mailing address
307 W 38TH ST FL 6, NEW YORK, NY 10018-9537
(212) 695-4564
(212) 695-4561
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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