Individual
IRIS STEPHANIE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(800) 758-3678
Mailing address
374 S GRAND BLVD APT 114, SAINT LOUIS, MO 63103-2460
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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