Individual
CRYSTAL LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 LONG ST, HEREFORD, TX 79045-3227
(806) 206-5191
Mailing address
401 LONG ST, HEREFORD, TX 79045-3227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110296
TX
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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