Most Relevant Information
Provider Data
| NPI Number: | 1003697962 |
| Provider Name: | ANGEL DAVID HERRERA CPT 1 |
| Entity Type: | Individual |
| Taxonomy Code: | 246RP1900X |
| Specialty: | Technician, Pathology |
| License Number: | 02351370 |
Most Important Dates
| Enumeration Date: | 10/06/2023 |
| Last Updated: | 10/06/2023 |
Provider Practice Location
325 RIDGE AVE
VALLEJO
CA
945918035
Practice Location Phone/Fax
| Phone: | 7075676533 |
| Fax: |
Provider Mailing Location
325 RIDGE AVE
VALLEJO
CA
945918035
Provider Mailing Phone/Fax
| Phone: | 7075676533 |
| Fax: |