Individual
NANCY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5165 11TH ST S, ARLINGTON, VA 22204-3231
(703) 933-0297
Mailing address
5165 11TH ST S, ARLINGTON, VA 22204-3231
(703) 933-0297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A2734
MD
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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