JULIAN LUCERO

BERNALILLO, NM
NPI1851947444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM  AT617)
Enumeration Date2019-08-10
Last Update Date2021-09-02
Business Address
JULIAN LUCERO
148 SPARTAN ALLEY
BERNALILLO, NM 87004-6298
Phone number: 505-867-2338
Mailing Address
JULIAN LUCERO
PO BOX 1323
BERNALILLO, NM 87004-1323
Phone number: