Individual
JACQUELINE HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 250-3291
(626) 910-1380
Mailing address
223 E ROWLAND ST, COVINA, CA 91723-3147
(626) 332-3145
(626) 974-4164
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
05/21/2025
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