Individual
PAUL DUARTE LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7036 S PETREL LN, TUCSON, AZ 85706-8606
(520) 806-1717
Mailing address
7036 S PETREL LN, TUCSON, AZ 85706-8606
(520) 806-1717
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761256
—
AZ
Enumeration date
11/21/2006
Last updated
07/26/2007
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