Individual
DR. RAYMOND P HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
113 W BROADWAY, FARMINGTON, NM 87401-6419
(505) 326-2020
(505) 327-5530
Mailing address
113 W BROADWAY, FARMINGTON, NM 87401-6419
(505) 326-2020
(505) 327-5530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
437
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P2124
—
NM
Enumeration date
08/13/2006
Last updated
10/09/2012
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