Individual
NANCY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2536
Mailing address
408 S PARK ST # 1, MADISON, WI 53715-1618
(714) 800-0208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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