Upper Valley Medical Clinic, Pllc

NPI #1366773947 in Canutillo, Texas

Provider Information

NPI Number
1366773947
Entity Type
Organization
Organization Name
Upper Valley Medical Clinic, Pllc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jan 21, 2010
Last Updated
Jan 21, 2010

Practice Location

Address
950 ANTHONY ST
State
Texas
ZIP Code
79835-6052
Phone
(915) 877-4217

Authorized Official

Name
MS. ANNA M LUCERO, FNP-C
Title
OWNER/PRESIDENT
Phone
(915) 877-4217

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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