GLENN HERRERA

PUYALLUP, WA
NPI1982078788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  OC60267435)
Enumeration Date2015-11-18
Last Update Date2015-11-18
Business Address
GLENN HERRERA
400 29TH ST NE
PUYALLUP, WA 98372-6774
Phone number: 253-840-4400
Mailing Address
GLENN HERRERA
2366 COURT G
TACOMA, WA 98405-4300
Phone number: 253-797-0668