LYDIA HERRERA-MATA

FRESNO, CA
NPI1811900558
Former NameLYDIA HERRERA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A75245)
Enumeration Date2006-08-14
Last Update Date2020-01-16
Business Address
LYDIA HERRERA-MATA
2823 FRESNO ST
FRESNO, CA 93721-1324
Phone number: 559-499-6450
Mailing Address
LYDIA HERRERA-MATA
2625 E DIVISADERO ST
FRESNO, CA 93721-1431
Phone number: 559-443-2682