Individual
IMELDA DURAN HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
762 CYPRESS ST, SAN DIMAS, CA 91773-3505
(909) 599-1227
Mailing address
762 CYPRESS ST, SAN DIMAS, CA 91773-3505
(909) 599-1227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116839
CA
Other
Enumeration date
08/29/2023
Last updated
01/05/2024
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