Individual
MILDRED HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5034 BLUE RUNNER CT, NEW PORT RICHEY, FL 34652-3469
(727) 565-9906
Mailing address
5034 BLUE RUNNER CT, NEW PORT RICHEY, FL 34652-3469
(727) 565-9906
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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