Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 14501 | AL |
NPI | 1588652226 |
---|---|
Provider Name | Dr. Alma M Herrera |
First Address | Mobile, AL 36608-1786 |
Second Address | Mobile, AL 36608-1786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 11/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
128829 | (05) | AL |
511-14188 | BC (01) | AL |
E20792 | (02) | AL |