Individual
JUAN MARTIN HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
845 E 3RD AVE STE 11, MOSES LAKE, WA 98837-5902
(509) 766-1880
Mailing address
845 E 3RD AVE STE 11, MOSES LAKE, WA 98837-5902
(509) 766-1880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
61429597
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/05/2022
Last updated
05/22/2024
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