Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | CA |
NPI | 1023391562 |
---|---|
Provider Name | Mrs. Araceli Geraldine Herroz |
First Address | City Of Industry, CA 91748-1342 |
Second Address | City Of Industry, CA 91748-1342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2011 |
Last Update Date | 24/01/2022 |