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Individual

SHAWN HERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
CC2 CALLE A, CALLE 14 DE JULIO BUZON 454, LUQUILLO, PR 00773-2611
(787) 513-7685
Mailing address
PO BOX 454, LUQUILLO, PR 00773-0454
(787) 513-7685

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
6116018
PR
344600000X
Taxi
6116018
PR

Other

Enumeration date
06/06/2015
Last updated
06/06/2015
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