Individual
MRS. KAYLEE MASON HERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1739 E BEVERLY AVE STE 102, KINGMAN, AZ 86409-3593
(928) 681-8693
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 263-4722
(928) 263-4794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7227
AZ
Other
Enumeration date
08/04/2018
Last updated
10/05/2018
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