Individual
LUIS HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3939 N STOCKTON HILL RD STE A, KINGMAN, AZ 86409-3247
(954) 439-6167
Mailing address
777 HARRAH WAY APT 107, LAKE HAVASU CITY, AZ 86403-0813
(954) 439-6167
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
CTT0000104046
AZ
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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