JUAN MANUEL HERRERA-GODINEZ

WINSTON SALEM, NC
NPI1528383627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MT  MED-PAC-LIC-97431)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NC  0010-08059)
363A00000X Physician Assistant
(Licence: CA  PA22391)
363A00000X Physician Assistant
(Licence: OR  PA156586)
Enumeration Date2010-03-31
Last Update Date2021-12-14
Business Address
JUAN MANUEL HERRERA-GODINEZ P.A.
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Phone number: 336-716-2255
Mailing Address
JUAN MANUEL HERRERA-GODINEZ P.A.
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255