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Individual

SIMON HERRERA SUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
540 S COLLEGE AVE, NEWARK, DE 19713-1302
(302) 831-8839
Mailing address
540 S COLLEGE AVE # 210Z-004, NEWARK, DE 19713-1302
(408) 482-7902

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0014476
DE

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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