Individual
LISA AHMED HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3218 DEWAR DR, #202, ROCK SPRINGS, WY 82901-4979
(307) 389-6079
Mailing address
3218 DEWAR DR, #202, ROCK SPRINGS, WY 82901-4979
(307) 389-6079
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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