Individual
ANGELICA CHANTAL HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
135 TUSCAN RIDGE CIR, SANTA TERESA, NM 88008-9813
(915) 799-4900
Mailing address
135 TUSCAN RIDGE CIR, SANTA TERESA, NM 88008-9813
(915) 799-4900
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342840
TX
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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