Individual
MRS. ERICA HERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 564-8563
(505) 327-3144
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 564-8563
(505) 327-3144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-316
NM
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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