Individual
JOSELIN FABIOLA JOMA DE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481
(715) 346-5000
Mailing address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
69396
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2015
Last updated
06/15/2018
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