Individual
LAURA VANESSA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
246 CLIFTON AVE STE 4, CLIFTON, NJ 07011-1953
(973) 928-2715
Mailing address
PO BOX 3399, WAYNE, NJ 07474-3399
(973) 928-2715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00778300
NJ
Other
Enumeration date
10/07/2020
Last updated
12/04/2023
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