Individual
EDITH GISEL HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2370 SMYTHE AVENUE #8, SAN YSIDRO, CA 92173
(619) 866-9030
Mailing address
2370 SMYTHE AVE # 8, SAN YSIDRO, CA 92173-2435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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