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Individual
MR. MOSES JACOB BERRIOS-HEREDIA
Active
Individual
MR. MOSES JACOB BERRIOS-HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN276908
CA
171M00000X
Case Manager/Care Coordinator
VN276908
CA
172V00000X
Community Health Worker
VN276908
CA
251B00000X
Case Management Agency
VN276908
CA
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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