Individual
MARINA LISETH HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 CUSTER ROAD, RICHARDSON, TX 75080
(972) 490-9055
(972) 490-9058
Mailing address
320 CUSTER ROAD, RICHARDSON, TX 75080
(972) 490-9055
(972) 490-9058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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