Jerry Herron, CCSS

NPI #1982349338 in Belen, New Mexico

Provider Information

NPI Number: 1982349338
Entity Type: Individual
Name: Jerry Herron, CCSS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: CCSS
Enumeration Date: Apr 30, 2022
Last Updated: Apr 30, 2022

Practice Location

Address: 817 DESI LOOP
City: Belen
State: New Mexico
ZIP Code: 87002-8068
Phone: (575) 835-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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