Individual
CARLTON B HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3509 ETHEL JAMES DR, CHESAPEAKE, VA 23323-1249
(757) 692-8636
Mailing address
3509 ETHEL JAMES DR, CHESAPEAKE, VA 23323-1249
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HCO-212401
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCO-212401
—
VA
Enumeration date
09/01/2020
Last updated
09/01/2020
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