Individual
ANTHONY JAMELLE HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4701 IRVING BLVD NW, APT. 1407, ALBUQUERQUE, NM 87114-3903
(646) 248-4750
Mailing address
4701 IRVING BLVD NW, APT. 1407, ALBUQUERQUE, NM 87114-3903
(646) 248-4750
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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