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Individual

HERACLIO VIDAL HERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
26889 CHERRY WILLOW DR, SANTA CLARITA, CA 91387-1813
(818) 288-8112
Mailing address
26889 CHERRY WILLOW DR, SANTA CLARITA, CA 91387-1813
(818) 288-8112

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
837669
CA

Other

Enumeration date
08/13/2015
Last updated
08/13/2015
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