Individual
DARLENE SUZANNE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1208
(505) 331-3291
Mailing address
4401 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1208
(505) 331-3291
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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