Individual
AMANDA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREWS AVE., FORT RUCKER, AL 36362-5333
(334) 255-7341
(334) 255-7368
Mailing address
LYSTER ARMY HEALTH CLINIC, BUILDING 301 ANDREWS AVE., FORT RUCKER, AL 36362-5333
(334) 255-7341
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E2089197
TX
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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