Most Relevant Information
Provider Data
| NPI Number: | 1003509779 |
| Provider Name: | JAIME HERRERA |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2023 |
| Last Updated: | 09/25/2024 |
Provider Practice Location
4411 E. CESAR CHAVEZ BLVD FRESNO, CA 93702
#319
FRESNO
CA
937023604
Practice Location Phone/Fax
| Phone: | 5596002382 |
| Fax: |
Provider Mailing Location
3433 W SHAW AVE STE 103
FRESNO
CA
937113229
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |