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Individual

ANNE HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2521 WESTPORT LN, SAINT CHARLES, MO 63301-4758
(636) 293-6533
Mailing address
2521 WESTPORT LN, SAINT CHARLES, MO 63301-4758

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2022020670
MO
2255A2300X
Athletic Trainer

Other

Enumeration date
03/20/2015
Last updated
09/15/2022
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