Individual
SELINA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4744 HAILEY CIR, RIVERSIDE, CA 92509-7501
(909) 231-4854
Mailing address
4744 HAILEY CIR, RIVERSIDE, CA 92509-7501
(909) 231-4854
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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