Individual
DEBRA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 REDGATE CIR, DIAMOND BAR, CA 91765-2837
(909) 764-7980
Mailing address
1708 REDGATE CIR, DIAMOND BAR, CA 91765-2837
(909) 764-7980
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
800982
CA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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