HERACLIO VIDAL HERRERA

SANTA CLARITA, CA
NPI1255707246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CA  837669)
Enumeration Date2015-08-13
Last Update Date2015-08-13
Business Address
-- HERACLIO VIDAL HERRERA
26889 CHERRY WILLOW DR
SANTA CLARITA, CA 91387-1813
Phone number: 818-288-8112
Mailing Address
-- HERACLIO VIDAL HERRERA
26889 CHERRY WILLOW DR
SANTA CLARITA, CA 91387-1813
Phone number: 818-288-8112
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