Individual
ANTHONY HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
510 MILL ST, FOLSOM, CA 95630-2607
(916) 985-3641
Mailing address
4024 33RD ST, SACRAMENTO, CA 95820-1222
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
742000
CA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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