LARRY HEREDIA

WILMINGTON, DE
NPI1043302920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: DE  L60A00240)
Additional Taxonomies367H00000X Anesthesiologist Assistant
(Licence: DE  L60A00240)
Enumeration Date2006-09-29
Last Update Date2019-12-27
Business Address
Mr. LARRY HEREDIA CRNA
1600 ROCKLAND ROAD
WILMINGTON, DE 19803-3607
Phone number: 302-651-4200
Mailing Address
Mr. LARRY HEREDIA CRNA
P.O. BOX 191
ROCKLAND, DE 19723-0191
Phone number: 302-651-4000
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