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Individual

CHRISTIAN HERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
19 JAMISON PL, NEWBURGH, NY 12550-3138
(845) 728-2774
Mailing address
19 JAMISON PL, NEWBURGH, NY 12550-3138
(845) 728-2774

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319519
NY

Other

Enumeration date
08/17/2016
Last updated
08/17/2016
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