Most Relevant Information
Provider Data
| NPI Number: | 1003049396 |
| Provider Name: | SELINA LUCERO BMS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/02/2009 |
| Last Updated: | 09/02/2009 |
Provider Practice Location
121 TOWNSGATE PLZ
CLOVIS
NM
881013714
Practice Location Phone/Fax
| Phone: | 5757422620 |
| Fax: |
Provider Mailing Location
PO BOX 28220
SANTA FE
NM
875928220
Provider Mailing Phone/Fax
| Phone: | 5054715006 |
| Fax: | 5058209220 |