Individual
JOHN LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
221 N KANSAS ST, EL PASO, TX 79901-1443
(915) 213-1289
Mailing address
14000 JASON CRANDALL DR, EL PASO, TX 79938-5350
(915) 241-1655
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
844440
NM
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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