Individual
SHENYAH RENEE LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 OFFICE COURT DR, SANTA FE, NM 87507-4929
(505) 395-9611
Mailing address
4001 OFFICE COURT DR UNIT CT, SANTA FE, NM 87507-4929
(505) 395-9611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
04/04/2022
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