Individual
MR. MANUEL HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1431 STACY LN, MACOMB, IL 61455-2652
(309) 333-1404
(309) 836-3749
Mailing address
1431 STACY LANE, MACOMB, IL 61455
(309) 333-1404
(309) 836-3749
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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