Individual
MRS. NANCY LOUISE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 HEIGHTS ST, EL CAMPO, TX 77437-4135
(979) 332-1726
Mailing address
711 HEIGHTS ST, EL CAMPO, TX 77437-4135
(979) 332-1726
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8TJ0-GE1-XJ03
—
TX
Enumeration date
07/29/2022
Last updated
07/29/2022
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