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Individual

MARIA HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 BEACH ST, EDWARDSVILLE, KS 66113-0445
(913) 441-9191
Mailing address
PO BOX 13445, EDWARDSVILLE, KS 66113-0445

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
05/16/2011
Last updated
05/16/2011
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