Individual
BETHANY HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 NEVADA DR, ALAMOGORDO, NM 88310-3701
(575) 551-2461
Mailing address
2302 NEVADA DR, ALAMOGORDO, NM 88310-3701
(575) 551-2461
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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