Individual
ERICA S HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2020 N 12TH ST, GRAND JUNCTION, CO 81501-2914
(970) 245-0484
(970) 241-2803
Mailing address
2020 N 12TH ST, GRAND JUNCTION, CO 81501-2914
(970) 245-0484
(970) 241-2803
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-2346
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29351324
—
CO
01
—
807332
MEDICARE, OTHER
CO
Enumeration date
11/14/2006
Last updated
11/08/2007
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