Individual
JAIME LUCIO HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
13442 MALENA DR, SANTA ANA, CA 92705-1912
(714) 543-5437
Mailing address
114 SANTA ROSA WAY, PLACENTIA, CA 92870-1838
(626) 641-8836
(714) 543-5463
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019147
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95019147
CA
Other
Enumeration date
03/09/2022
Last updated
12/10/2024
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