Provider Demographics
NPI:1508612193
Name:HUERTA LUCERO, JENNYFER
Entity Type:Individual
Prefix:
First Name:JENNYFER
Middle Name:
Last Name:HUERTA LUCERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MAY ST APT C6
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5647
Mailing Address - Country:US
Mailing Address - Phone:914-434-6399
Mailing Address - Fax:
Practice Address - Street 1:18 MAY ST APT C6
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5647
Practice Address - Country:US
Practice Address - Phone:914-434-6399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula