Individual
ALYSSA LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177B CALLE DURAN, ESPANOLA, NM 87532
(505) 395-8938
Mailing address
177B CALLE DURAN, ESPANOLA, NM 87532
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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