Individual
JESSICA LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1401 E TRENT AVE # 200, SPOKANE, WA 99202-2902
(509) 747-3147
Mailing address
1401 E TRENT AVE # 200, SPOKANE, WA 99202-2902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61324167
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2020
Last updated
10/24/2022
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