Individual
DAESY JULIET HERREJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
12168 FENIMORE DR, MORENO VALLEY, CA 92555-5410
(951) 497-7806
Mailing address
12168 FENIMORE DR, MORENO VALLEY, CA 92555-5410
(951) 497-7806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20240112132592
CA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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