Willie Manuel Lucero III

NPI #1417765819 in Belen, New Mexico

Provider Information

NPI Number: 1417765819
Entity Type: Individual
Name: Willie Manuel Lucero III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 18, 2024
Last Updated: Dec 18, 2024

Practice Location

Address: 507 S 4TH ST
City: Belen
State: New Mexico
ZIP Code: 87002-4451
Phone: (505) 379-3530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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