Individual
JENNIFER L HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10189 ELIZABETH LAKE RD, WHITE LAKE, MI 48386-2736
(517) 673-4801
Mailing address
10189 ELIZABETH LAKE RD, WHITE LAKE, MI 48386-2736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006777
MI
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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