Individual
JOLANTA A HERRERA MARTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2552 ALDRIDGE AVE, SOUTH CHESTERFIELD, VA 23834-5306
(804) 526-7990
(804) 526-7905
Mailing address
2552 ALDRIDGE AVE, SOUTH CHESTERFIELD, VA 23834-5306
(804) 526-7990
(804) 526-7905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101230277
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010119057
—
VA
Enumeration date
09/20/2006
Last updated
02/10/2023
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