Individual
AZUCENA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 S FETTERLY AVE, EAST LOS ANGELES, CA 90022-1605
(323) 362-1041
Mailing address
245 S FETTERLY AVE, EAST LOS ANGELES, CA 90022-1605
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95147974
CA
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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