NISSA BREANN LUCERO

SPANISH FORK, UT
NPI1811294697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  64501484405)
Enumeration Date2011-02-14
Last Update Date2011-02-14
Business Address
Mrs. NISSA BREANN LUCERO NP-C
415 N MAIN ST
SPANISH FORK, UT 84660-1439
Phone number: 801-798-9700
Mailing Address
Mrs. NISSA BREANN LUCERO NP-C
415 N MAIN ST
SPANISH FORK, UT 84660-1439
Phone number: 801-798-9700
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