Individual
JULIANNE HERRERA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 881-3000
Mailing address
1090 LANG RD, #2603, PORTLAND, TX 78374-3107
(817) 929-6081
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
78412
TX
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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