Individual
ANDREW ALLEN HERRES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
3316 1/2 4TH ST, SUITE 4A, LEWISTON, ID 83501-4460
(509) 780-7822
Mailing address
PO BOX 1695, LEWISTON, ID 83501-1409
(509) 780-7822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60110908
WA
Other
Enumeration date
03/22/2011
Last updated
06/17/2013
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