Individual
ASHLEY MICHELLE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14240 IMPERIAL HWY, LA MIRADA, CA 90638-1940
(562) 946-1587
Mailing address
16046 RED COACH LN, WHITTIER, CA 90604-3958
(562) 713-1599
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40170
CA
167G00000X
Licensed Psychiatric Technician
—
—
Other
Enumeration date
03/12/2018
Last updated
02/12/2025
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