Individual
SANDRA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1113 E OGLETHORPE HWY, HINESVILLE, GA 31313-1200
(912) 368-3502
(912) 368-6844
Mailing address
3441 CYPRESS MILL RD, SUITE 102, BRUNSWICK, GA 31520-2878
(912) 554-8542
(912) 264-5965
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44319
GA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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