Individual
JANE HERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503-3528
(951) 687-8802
(951) 687-2250
Mailing address
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503-3528
(951) 687-8802
(951) 687-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23150
CA
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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